Provider Demographics
NPI:1184985129
Name:BRENNAN, DANIEL SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:SCOTT
Last Name:BRENNAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 746550
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6550
Mailing Address - Country:US
Mailing Address - Phone:888-236-2263
Mailing Address - Fax:434-975-1834
Practice Address - Street 1:3263 PROFFIT RD STE 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911
Practice Address - Country:US
Practice Address - Phone:434-654-4600
Practice Address - Fax:434-975-1834
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2022-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101254998207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine