Individual
A GORDON BRANDAU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 HEMBREE RD, SUITE 103, ROSWELL, GA 30076-3810
(678) 762-9494
(678) 762-9496
Mailing address
1305 HEMBREE RD, SUITE 103, ROSWELL, GA 30076-3810
(678) 762-9494
(678) 762-9496
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
014161
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014161
GA MEDICAL LICENSE
GA
Enumeration date
05/21/2007
Last updated
03/07/2023
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