Individual
BRYAN T. PIEDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
55779
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
55779
GA
207UN0901X
Nuclear Cardiology Physician
55779
GA
207UN0902X
Nuclear Imaging & Therapy Physician
55779
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258441706P
—
GA
05
—
258441706Q
—
GA
05
—
258441706R
—
GA
05
—
258441706S
—
GA
05
—
258441706T
—
GA
Enumeration date
03/31/2006
Last updated
11/25/2019
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