Madaris, Brently T

Madaris, Brently T is an individual health care provider with primary practice located at 4614 Trion Teloga Rd , Summerville GA 30747-6314. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Madaris, Brently T can be contacted via phone (865) 670-1003.

Contact Information

Primary practice address
4614 Trion Teloga Rd Summerville GA 30747-6314
Phone: (865) 670-1003
Fax: (865) 670-1004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X APN0000006974 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN097785 Georgia

Profile Details

NPI number 1285704957
LBN Legal business name Madaris, Brently T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Aug 18th, 2020 - about 4 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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