Eric Brandenburg, | |
1480 S Highway 27, Carrollton, GA 30117-8901 | |
(770) 812-9445 | |
Not Available |
Full Name | Eric Brandenburg |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1480 S Highway 27, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548036007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN269531 (Georgia) | Primary |
Entity Name | Tmc Immediate Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386708097 PECOS PAC ID: 9133105976 Enrollment ID: O20040624000840 |
Entity Name | Tanner Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
Mailing Address | Practice Location Address |
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Eric Brandenburg, 1002 Whooping Creek Rd, Carrollton, GA 30116-8988 Ph: (678) 457-7677 | Eric Brandenburg, 1480 S Highway 27, Carrollton, GA 30117-8901 Ph: (770) 812-9445 |
Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828 | |
Latoya Pulliam Bexley, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477 | |
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237 | |
Mr. Matthew Henderson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 | |
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-838-8824 Fax: 770-838-8922 | |
Amy Hicks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Rome St, Carrollton, GA 30117 Phone: 404-301-4042 | |
Stephanie Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 706 Dixie St Ste 200, Carrollton, GA 30117 Phone: 770-214-2121 |