Individual
BRIANNA FEDORICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5461 MERIDIAN MARK RD, ATLANTA, GA 30342-3007
(404) 785-6895
Mailing address
5461 MERIDIAN MARK RD, ATLANTA, GA 30342-3007
(404) 785-6895
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
12073
GA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/31/2018
Last updated
05/31/2024
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