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Brendon Street
NPI 1750048633 · on the registry since 2021
Practice
- Address
- 1105 Research Center Drive Atlanta Sw
Atlanta, GA 30331 - Phone
- (404) 260-7779
- Fax
- (404) 260-6311
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-26
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