Individual
BRIAN A PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-0374
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(706) 545-3004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
08/07/2024
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