Brissett, Robert P

Brissett, Robert P is an sole proprietor health care provider with primary practice located at 5124 Grove Field Pt , Lithonia GA 30038-2387. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brissett, Robert P can be contacted via phone (678) 994-8674.

Contact Information

Primary practice address
5124 Grove Field Pt Lithonia GA 30038-2387
Phone: (678) 994-8674
Fax: (866) 678-9749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD000950 Georgia

Profile Details

NPI number 1912999004
LBN Legal business name Brissett, Robert P
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Mar 1st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912999004 NPPES
Georgia MEDICAID 309363507A

Popular Providers