Brandon W Harden
Pediatrician Emergency Physician Pediatric Cardiologist
1000 Hawthorne Ave Ste S
Athens
, Georgia 30606-2168
Brandon W Harden
Pediatrician Emergency Physician Pediatric Cardiologist
1000 Hawthorne Ave Ste S
Athens
, Georgia 30606-2168
(770) 488-9408
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About
Features
Specialties
- Emergency Physician
- Pediatrician
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Brandon W Harden
- 2835 Brandywine Rd Suite 300
- Atlanta, GA
- Zip : 30341-5510
- Fax : (770) 488-9408
- Phone : (404) 256-2593
Second Address
- Brandon W Harden
- 1000 Hawthorne Ave Ste S
- Athens, GA
- Zip : 30606-2168
- Fax : (770) 488-9408
- Phone : (404) 256-2593
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | MD.28540 | AL |
| N | 208000000X | Pediatrician | MD.28540 | AL |
| Y | 2080P0202X | Pediatric Cardiologist | 063459 | GA |
National Provider Identifier
| NPI | 1154539385 |
|---|---|
| Provider Name | Brandon W Harden |
| First Address | Atlanta, GA 30341-5510 |
| Second Address | Athens, GA 30606-2168 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2007 |
| Last Update Date | 22/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003130101A | (05) | GA |
| 111173 | (05) | AL |
| 111256 | (05) | AL |
| 1154539385 | TRICARE SOUTH (01) | AL |
| 515-98918 | BCBS (01) | AL |
| 515-98963 | BCBS (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.