Individual
BRANDON W HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HAWTHORNE AVE STE S, ATHENS, GA 30606-2168
(404) 256-2593
(770) 488-9408
Mailing address
2970 BRANDYWINE RD STE 125, ATLANTA, GA 30341-5521
(404) 256-2593
(770) 488-9408
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.28540
AL
208000000X
Pediatrics Physician
MD.28540
AL
2080P0202X
Pediatric Cardiology Physician
Primary
063459
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130101A
—
GA
05
—
111173
—
AL
05
—
111256
—
AL
01
—
1154539385
TRICARE SOUTH
AL
01
—
515-98918
BCBS
AL
01
—
515-98963
BCBS
AL
Enumeration date
05/20/2007
Last updated
04/23/2026
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