Individual
BRETT D. ATWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8081 INNOVATION PARK DR STE 602, FAIRFAX, VA 22031-4867
(571) 472-3270
(571) 472-3271
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48208
WI
207RC0000X
Cardiovascular Disease Physician
2008-01097
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2008-01097
NC
Other
Enumeration date
04/20/2006
Last updated
04/28/2021
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