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Individual

DR. BRIAN E BARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
157 CLINIC AVE, SUITE 302, CARROLLTON, GA 30117-4413
(770) 834-3336
(770) 832-2136
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8710

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
055088
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
388025
BLUE CROSS
GA
05
522939423
GA
01
P00175609
RAILROAD MEDICARE
GA
Enumeration date
11/30/2005
Last updated
03/16/2016
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