Phelan, Brian K.
Phelan, Brian K. is an individual health care provider with primary practice located at 820 St. Sebastian Way Suite 2A, Augusta GA 30901. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Phelan, Brian K. can be contacted via phone (706) 722-1249.Contact Information
Primary practice address
820 St. Sebastian Way Suite 2A
Augusta GA 30901
Phone: (706) 722-1249
Fax: (706) 722-1947
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 027422 | Georgia |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 027422 | Georgia |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 027422 | Georgia |
Profile Details
NPI number | 1437131877 |
---|---|
LBN Legal business name | Phelan, Brian K. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 18th, 2005 |
Last updated | Aug 4th, 2010 - about 14 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 | 1437131877 | NPPES |
Georgia | MEDICAID | 000305214C |
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