person
Lee Brian Brandt JR., PA
Medical Physician Assistant in Acworth, Georgia
NPI 1609840511

Lee Brian Brandt JR. is a Medical Physician Assistant based in Atlanta, GA and is specialized in Medical. Lee Brian Brandt JR. practices in Acworth, GA and has the professional credentials of PA. The NPI Number for Lee Brian Brandt JR. is 1609840511 and holds a License No. 003438 (Georgia).

The current practice location address for Lee Brian Brandt JR. is 4900 Ivey Rd Nw, Acworth, GA and can be reached out via phone at 770-975-9077 and via fax at 770-790-4964.

Location: 4900 Ivey Rd Nw, Acworth, GA, 30328-5831
person
Provider Profile Details
NPI Number
1609840511
Provider Name
Lee Brian Brandt JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4900 Ivey Rd Nw, Acworth, GA, 30328-5831
Phone Number
770-975-9077
Fax Number
770-790-4964
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100000704E 05 GA
100000704C 05 GA
100000704D 05 GA
institution
Provider Business Practice Location Address Details
Address
4900 Ivey Rd Nw
City
State
Zip
30101-4001
Phone Number
770-975-9077
Fax Number
770-790-4964
person
Provider Business Mailing Address Details
Address
4900 Ivey Rd Nw
City
State
Zip
30101-4001
Phone Number
770-975-9077
Fax Number
770-790-4964
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
003438 (Georgia)
Definition
Definition to come...
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