King, Brandon Virdell

King, Brandon Virdell is an individual health care provider with primary practice located at 55 Atlanta St Se Ste 204 , Marietta GA 30060-1977. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. King, Brandon Virdell can be contacted via phone (678) 517-3428.

Contact Information

Primary practice address
55 Atlanta St Se Ste 204 Marietta GA 30060-1977
Phone: (678) 517-3428
Fax: (770) 485-1534
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1033447313
LBN Legal business name King, Brandon Virdell
Credentials CSA, CSFA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2009
Last updated Nov 24th, 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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