Lee Brian Brandt is a Medical in Acworth, Georgia. Lee Brian Brandt practices all healthcare services and medical treatments related to Medical. The NPI Number for Lee Brian Brandt is 1609840511. The last update date is 2015-04-23.
Lee Brian Brandt's current location address is 4900 Ivey Rd Nw, Acworth, Georgia. You can contact this provider via phone number 7709759077 and fax number 7707904964. The mailing address for Lee Brian Brandt is 4900 Ivey Rd Nw, Acworth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee Brian Brandt |
|---|---|
| Address | 4900 Ivey Rd Nw, Acworth, Georgia |
| Phone Number | 7709759077 |
| Fax Number | 7707904964 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1609840511 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2015-04-23 |
Provider Mailing Address Detail
| Address | 4900 Ivey Rd Nw |
|---|---|
| City | Acworth |
| State | Georgia (GA) |
| Post Code | 301014001 |
| Phone Number | 7709759077 |
| Fax Number | 7707904964 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3438 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100000704E | GA | -- | |
| 100000704C | GA | -- | |
| 100000704D | GA | -- |
Post Comment/ Review Below
What is the Lee Brian Brandt's unique identification number?
The Lee Brian Brandt has been assigned the NPI (National Provider Identifier) Number 1609840511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Lee Brian Brandt is geographically located?
The Lee Brian Brandt is physically situated at the following location: 4900 Ivey Rd Nw, Acworth, GA, 301014001.
What is Lee Brian Brandt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lee Brian Brandt is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Lee Brian Brandt receive its 1609840511 assignment from the Centers for Medicare & Medicaid Services?
The Lee Brian Brandt was assigned its 1609840511 by the Centers for Medicare & Medicaid Services on 2006-02-15.
As of what date was the information pertaining to Lee Brian Brandt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lee Brian Brandt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-04-23.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA