Individual
BRIAN H. ANNEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
(706) 721-9286
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101244795
VA
207RC0000X
Cardiovascular Disease Physician
32618
NC
207RI0011X
Interventional Cardiology Physician
Primary
83717
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124100375
—
VA
05
—
8911561
—
NC
Enumeration date
10/19/2006
Last updated
07/26/2019
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