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Individual

BRIAN SYDOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 JOHNSON FERRY RD NE, RADIOLOGY DEPARTMENT, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
5605 GLENRIDGE DR STE 325, ATLANTA, GA 30342-1365
(678) 553-7783
(678) 553-7793

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
059028
GA
2085R0202X
Diagnostic Radiology Physician
MT049745
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
350377757
GA
Enumeration date
01/11/2007
Last updated
05/06/2019
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