West, Brandon D

West, Brandon D is an individual health care provider with primary practice located at 1668 Mulkey Rd Ste 164 , Austell GA 30106-1242. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. West, Brandon D can be contacted via phone (770) 948-3233.

Contact Information

Primary practice address
1668 Mulkey Rd Ste 164 Austell GA 30106-1242
Phone: (770) 948-3233
Fax: (770) 944-1537
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004217 Georgia

Profile Details

NPI number 1871598425
LBN Legal business name West, Brandon D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 17th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871598425 NPPES
Georgia MEDICAID 909178080G
Georgia MEDICAID 909178080H
Georgia MEDICAID 909178080J
Georgia MEDICAID 909178080I
Georgia Other 202I971517

Popular Providers