Individual provider · Type 1 NPI

Brianna Fedorich, PA-C

Surgical Physician Assistant · Atlanta, GA

NPI number 1215419775 Active

Practice location

5461 Meridian Mark Rd
Atlanta, GA 30342-3007

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400X12073 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1215419775

Brianna Fedorich, PA-C's National Provider Identifier is 1215419775, issued on Aug 31, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Atlanta, GA. The record was last updated on Jul 7, 2026.