Individual
BRIAN K. PHELAN
Active
Individual
BRIAN K. PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
027422
GA
207R00000X
Internal Medicine Physician
Primary
027422
GA
207RC0000X
Cardiovascular Disease Physician
027422
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000305214C
—
GA
Enumeration date
11/18/2005
Last updated
08/04/2010
Update your record
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