Provider Demographics
NPI:1932300647
Name:CURTIS, BRENDON ANTHON (MD)
Entity Type:Individual
Prefix:DR
First Name:BRENDON
Middle Name:ANTHON
Last Name:CURTIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5755 N POINT PKWY STE 223
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1171
Mailing Address - Country:US
Mailing Address - Phone:770-500-3660
Mailing Address - Fax:770-500-3664
Practice Address - Street 1:5755 N POINT PKWY STE 223
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1171
Practice Address - Country:US
Practice Address - Phone:770-500-3660
Practice Address - Fax:770-500-3664
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301084074208600000X
NE25520208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery