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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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 1437131877 NPPES
Georgia MEDICAID 000305214C

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