Harden, Brandon W

Harden, Brandon W is an individual health care provider with primary practice located at 1000 Hawthorne Ave Ste S , Athens GA 30606-2168. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Harden, Brandon W can be contacted via phone (404) 256-2593.

Contact Information

Primary practice address
1000 Hawthorne Ave Ste S Athens GA 30606-2168
Phone: (404) 256-2593
Fax: (770) 488-9408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.28540 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.28540 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 063459 Georgia

Profile Details

NPI number 1154539385
LBN Legal business name Harden, Brandon W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2007
Last updated Jan 22nd, 2021 - 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 1154539385 NPPES
Alabama MEDICAID 111173
Alabama MEDICAID 111256
Alabama Other 1154539385
Alabama Other 515-98963
Alabama Other 515-98918
Alabama MEDICAID 003130101A

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