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Organization

BRIAN K. NADOLNE, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN KEITH NADOLNE MD (PRESIDENT)
(770) 509-0017
Entity
Organization

Contact information

Practice address
1230 JOHNSON FERRY PL STE H20, MARIETTA, GA 30068-2057
(770) 509-0017
(770) 971-7818
Mailing address
1230 JOHNSON FERRY PL STE H20, MARIETTA, GA 30068-2057
(770) 509-0017
(770) 971-7818

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040748
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00739505E
GA
01
1073451
COVENTRY HEALTHCARE
GA
01
176614008
UNITED HEALTHCARE
GA
01
52543664
B/C B/S OF GEORGIA
GA
01
5656896
CIGNA
GA
01
7394560
AETNA
GA
01
P00243653
RAILROAD MEDICARE
GA
Enumeration date
01/31/2008
Last updated
04/23/2008
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