Larry A Brannam in Kennesaw - Emergency Medicine

Larry A Brannam - NPI 1780658963

Larry A Brannam is a Emergency Medicine in Kennesaw, Georgia. Larry A Brannam practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Larry A Brannam is 1780658963. The last update date is 2008-11-08.

Larry A Brannam's current location address is Po Box 2968, Kennesaw, Georgia. You can contact this provider via phone number 7707790015. The mailing address for Larry A Brannam is Po Box 2968, Kennesaw, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry A Brannam
Address Po Box 2968, Kennesaw, Georgia
Phone Number 7707790015
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1780658963
Provider Enumeration Date 2006-02-15
Last Updated Date 2008-11-08

Provider Mailing Address Detail

Address Po Box 2968
City Kennesaw
State Georgia (GA)
Post Code 301569117
Phone Number 7707790015
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 41268
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10735 GA KAISER
000697738D GA --
198017 GA BCBS OF GEORGIA
697738 GA --
573274 GA BCBS OF GEORGIA
000697738C GA --
333395 GA WELLCARE OF GEORGIA
10038074 GA AMERIGROUP

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FAQs about Larry A Brannam

What is the unique identifier code issued to Larry A Brannam by the Centers for Medicare & Medicaid Services?

The Larry A Brannam has been assigned the NPI (National Provider Identifier) 1780658963. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Larry A Brannam located?

The Larry A Brannam is located at Po Box 2968, Kennesaw, GA 301569117.

What is the Larry A Brannam's area of specialization and corresponding taxonomy classification?

The Larry A Brannam's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.

When did Larry A Brannam receive its 1780658963 assignment?

The Larry A Brannam was assigned its 1780658963 on 2006-02-15, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Larry A Brannam, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Larry A Brannam, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-11-08.

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