Auffarth, Bradley Robert

Auffarth, Bradley Robert is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Auffarth, Bradley Robert can be contacted via phone (770) 536-2323.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 536-2323
Fax: (770) 536-4947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 044398 Georgia

Profile Details

NPI number 1972506590
LBN Legal business name Auffarth, Bradley Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972506590 NPPES
Georgia MEDICAID 000775189C
Georgia Other 000775189D
Georgia MEDICAID 000775189O
Georgia Other 01053251
Georgia Other 52636812
Georgia Other 571688
Georgia Other P00416162
Georgia Other 1771991
Georgia MEDICAID 000775189D
Georgia MEDICAID 000775189F
Georgia MEDICAID 000775189E
Georgia Other 34602
Georgia Other 000775189C
Georgia Other 1690000

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