Individual
MR. BRENDAN GROARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606
(706) 475-7000
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(706) 475-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
050172
GA
208M00000X
Hospitalist Physician
Primary
050172
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000912216A
—
GA
01
—
110226837
RR MCARE
GA
01
—
7702369
AETNA
GA
01
—
868695
BCBS
GA
Enumeration date
09/07/2006
Last updated
06/13/2018
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