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
Phone: (770) 509-0017
Fax: (770) 971-7818
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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