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Individual

DR. BRIAN ANDREW FALLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
803 E. 68TH STREET, SAVANNAH, GA 31405-4709
(912) 355-4557
(912) 355-3186
Mailing address
803 E. 68TH STREET, SAVANNAH, GA 31405-4709
(912) 355-4557
(912) 355-3186

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
N005952-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001202
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02542836
NY
Enumeration date
01/26/2006
Last updated
09/10/2012
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