Brody, Evan M

Brody, Evan M is an individual health care provider with primary practice located at 5205 Stilesboro Rd Nw Ste 205 , Kennesaw GA 30152-7765. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brody, Evan M can be contacted via phone (678) 310-0540.

Contact Information

Primary practice address
5205 Stilesboro Rd Nw Ste 205 Kennesaw GA 30152-7765
Phone: (678) 310-0540
Fax: (678) 310-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD000937 Georgia

Profile Details

NPI number 1679548168
LBN Legal business name Brody, Evan M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679548168 NPPES
Georgia Other 581994261 FIRST HEALTH
Georgia Other 2700264 FIRST HEALTH
Georgia Other 581994261 FIRST HEALTH
Georgia Other 1400101 FIRST HEALTH
Georgia MEDICAID 457858901A FIRST HEALTH
Georgia Other 10055122 FIRST HEALTH
Georgia Other 581994261 FIRST HEALTH
Georgia Other 3262431 FIRST HEALTH
Georgia Other 6241458 FIRST HEALTH
Georgia Other 2701694 FIRST HEALTH
Georgia MEDICAID 332208 FIRST HEALTH

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