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Search › Georgia › 156FX1800X

Brian Athearn, LDO

NPI 1568152320 · on the registry since 2023

Practice

Address
4471 Washington Rd
Evans, GA 30809
Phone
(706) 854-7779
Organisation at this address
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Also registered as
156FX1800X
156FX1800X
Licence states on file
SC, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia