Individual
DR. BRIAN MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
211 REDMOND RD NW, ROME, GA 30165-1537
(706) 802-1800
(706) 802-0781
Mailing address
PO BOX 2400, ROME, GA 30164-2400
(706) 802-1800
(706) 802-0781
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000618
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000427567A
—
GA
Enumeration date
12/29/2005
Last updated
01/25/2011
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