Brandon William Burroway
Dermatologist
677 Church St Ne
Marietta
, Georgia 30060-1101
Brandon William Burroway
Dermatologist
677 Church St Ne
Marietta
, Georgia 30060-1101
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Brandon William Burroway
- 1611 Nw 12th Ave
- Miami, FL
- Zip : 33136-1096
- Phone :
Second Address
- Brandon William Burroway
- 677 Church St Ne
- Marietta, GA
- Zip : 30060-1101
- Phone : (770) 793-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 33050 | FL |
National Provider Identifier
| NPI | 1023646064 |
|---|---|
| Provider Name | Brandon William Burroway |
| First Address | Miami, FL 33136-1096 |
| Second Address | Marietta, GA 30060-1101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2020 |
| Last Update Date | 04/10/2021 |
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.