Nadolne, Brian Keith

Nadolne, Brian Keith is an sole proprietor health care provider with primary practice located at 1121 Johnson Ferry Rd Ste 320 , Marietta GA 30068-5404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nadolne, Brian Keith can be contacted via phone (770) 509-0017.

Contact Information

Primary practice address
1121 Johnson Ferry Rd Ste 320 Marietta GA 30068-5404
Fax: (770) 971-7818
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 040748 Georgia

Profile Details

NPI number 1407805872
LBN Legal business name Nadolne, Brian Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Apr 26th, 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 1407805872 NPPES
Georgia Other 5656896 CIGNA
Georgia Other 7394560 CIGNA
Georgia MEDICAID 000739505E CIGNA
Georgia Other 52543664 CIGNA
Georgia Other 1073451 CIGNA
Georgia Other 176614008 CIGNA
Georgia Other P00243653 CIGNA

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