Individual
BRIAN PATRICK CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 824-7593
Mailing address
2600 CENTURY PKWY NE, ATLANTA, GA 30345-3125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13853
NC
363A00000X
Physician Assistant
11439
GA
Other
Enumeration date
08/30/2021
Last updated
03/22/2024
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