Individual
DR. BRIAN THOMAS KAINEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 CHURCH ST NE, STE 400, MARIETTA, GA 30060-7282
(770) 952-8899
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 952-8899
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
052753
GA
174400000X
Specialist
ME95671
FL
2085R0202X
Diagnostic Radiology Physician
Primary
052753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178530010
—
GA
Enumeration date
07/06/2006
Last updated
05/10/2016
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