Theodore Brand in Marietta - Pediatric Surgery
Theodore Brand - NPI 1790784221
Theodore Brand is a Pediatric Surgery in Marietta, Georgia. Theodore Brand practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Theodore Brand is 1790784221. The last update date is 2022-07-21.
Theodore Brand's current location address is 5248 Timber Ridge Rd, Marietta, Georgia. You can contact this provider via phone number 4042815610 and fax number 4042520645. The mailing address for Theodore Brand is 5248 Timber Ridge Rd, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Brand |
|---|---|
| Address | 5248 Timber Ridge Rd, Marietta, Georgia |
| Phone Number | 4042815610 |
| Fax Number | 4042520645 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790784221 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 5248 Timber Ridge Rd |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 30068 |
| Phone Number | 4042815610 |
| Fax Number | 4042520645 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 28730 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000325773A | GA | -- |
Post Comment/ Review Below
What is the Theodore Brand's 1790784221?
The Theodore Brand's NPI (National Provider Identifier) Number is 1790784221. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Theodore Brand located?
The Theodore Brand is located at 5248 Timber Ridge Rd, Marietta, GA 30068.
What is Theodore Brand's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theodore Brand is Pediatric Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0120X.
On what date did the Theodore Brand receive its 1790784221 assignment from the Centers for Medicare & Medicaid Services?
The Theodore Brand was assigned its 1790784221 by the Centers for Medicare & Medicaid Services on 2005-07-18.
When was the information related to Theodore Brand most recently updated or refreshed?
The details pertaining to the Theodore Brand, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.