Brody, Jason Scot

Brody, Jason Scot is an individual health care provider with primary practice located at 800 Mount Vernon Hwy Suite 125, Atlanta GA 30328-4295. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Brody, Jason Scot can be contacted via phone (404) 256-1125.

Contact Information

Primary practice address
800 Mount Vernon Hwy Suite 125 Atlanta GA 30328-4295
Phone: (404) 256-1125
Fax: (404) 256-1964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036110895 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 063298 Georgia

Profile Details

NPI number 1427052497
LBN Legal business name Brody, Jason Scot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Dec 10th, 2009 - about 15 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 1427052497 NPPES
South Carolina MEDICAID PA1603
South Carolina Other 1522

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