Individual provider · Type 1 NPI

Issac Pothen Brian, MD

Student in an Organized Health Care Education/Training Program · Valdosta, GA

NPI number 1013701036 Active

Practice location

2501 N Patterson St
Valdosta, GA 31602-1735

Call (678) 906-0068 Map

Mailing address

313 Westminister Ln SW
Lilburn, GA 30047-3063

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X17085 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013701036

Issac Pothen Brian, MD's National Provider Identifier is 1013701036, issued on Apr 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valdosta, GA. The record was last updated on Apr 7, 2025.