| Brian K. Nadolne, Md, Pc | |
|
1230 Johnson Ferry Pl Ste H20 Marietta GA 30068-2057 | |
| (770) 509-0017 | |
| (770) 971-7818 |
| Full Name | Brian K. Nadolne, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1230 Johnson Ferry Pl Ste H20, Marietta, Georgia |
| Authorized Official Name and Position | Brian Keith Nadolne (PRESIDENT) |
| Authorized Official Contact | 7705090017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian K. Nadolne, Md, Pc 1230 Johnson Ferry Pl Ste H20 Marietta GA 30068-2057 Ph: (770) 509-0017 | Brian K. Nadolne, Md, Pc 1230 Johnson Ferry Pl Ste H20 Marietta GA 30068-2057 Ph: (770) 509-0017 |
| NPI Number | 1053598151 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053598151 | NPI | - | NPPES |
| 7394560 | Other | GA | AETNA |
| 00739505E | Medicaid | GA | |
| P00243653 | Other | GA | RAILROAD MEDICARE |
| 1073451 | Other | GA | COVENTRY HEALTHCARE |
| 176614008 | Other | GA | UNITED HEALTHCARE |
| 52543664 | Other | GA | B/C B/S OF GEORGIA |
| 5656896 | Other | GA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 040748 (Georgia) | Primary |
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