| Lee Brian Brandt Jr, PA | |
|
4900 Ivey Rd Nw, Suite 1826, Acworth, GA 30101-4001 | |
| (770) 975-9077 | |
| (770) 790-4964 |
| Full Name | Lee Brian Brandt Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 4900 Ivey Rd Nw, Acworth, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609840511 | NPI | - | NPPES |
| 100000704E | Medicaid | GA | |
| 100000704C | Medicaid | GA | |
| 100000704D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003438 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Brian Brandt Jr, PA 5665 New Northside Dr, Suite 320, Atlanta, GA 30328-5831 Ph: (404) 645-7564 | Lee Brian Brandt Jr, PA 4900 Ivey Rd Nw, Suite 1826, Acworth, GA 30101-4001 Ph: (770) 975-9077 |
Mr. Bobby Joel Treadwell Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4550 Cobb Parkway North Nw, Suite 309b, Acworth, GA 30101 Phone: 770-917-6795 Fax: 770-529-9077 | |
Kelly Elizabeth Decker, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2537 Cedarcrest Rd Ste 305-14, Acworth, GA 30101 Phone: 470-336-8190 Fax: 770-336-6620 | |
Ms. Rhonda Kay Herring, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2537 Cedarcrest Rd Ste 305-14, Acworth, GA 30101 Phone: 470-336-8190 Fax: 770-336-6620 | |
Tatiana Cardaniuc, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3540 Cobb Pkwy Nw, Acworth, GA 30101 Phone: 770-974-3911 | |
Mr. Nathanael Shane Hornsby, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2537 Cedarcrest Rd Ste 305-14, Acworth, GA 30101 Phone: 470-336-8190 Fax: 770-336-6620 | |
Halli E Selman, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2537 Cedarcrest Rd Ste 305-14, Acworth, GA 30101 Phone: 470-336-8190 Fax: 770-336-6620 | |
Stephanie Gallimore, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2537 Cedarcrest Rd Ste 305-63, Acworth, GA 30101 Phone: 762-500-3552 |