Individual
DR. BRIAN KEITH NADOLNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1121 JOHNSON FERRY RD STE 320, MARIETTA, GA 30068-5404
(770) 509-0017
(770) 971-7818
Mailing address
1230 JOHNSON FERRY PL, STE B-10, MARIETTA, GA 30068-2048
(770) 509-0017
(770) 971-7818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040748
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000739505E
—
GA
01
—
1073451
COVENTRY HEALTHCARE
GA
01
—
176614008
UNITED HEALTHCARE
GA
01
—
52543664
B/C B/S OF GEORGIA
GA
01
—
5656896
CIGNA
GA
01
—
7394560
AETNA
GA
01
—
P00243653
RAILROAD MEDICARE
GA
Enumeration date
05/10/2006
Last updated
04/26/2021
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