Bryan Rainbolt, PA

Physician Assistant · Suwanee, GA

Individual Active NPI

NPI number 1013577873

Practice location

1300 Peachtree Industrial Blvd Ste 4101
Suwanee, GA 30024-4542
Phone
(770) 831-5525

Open in Google Maps

NPI record

NPI
1013577873
Entity type
Individual (Type 1)
Enumeration date
June 14, 2019
Last updated
December 20, 2023
Certified
December 20, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 9292 GA

About Bryan Rainbolt

Bryan Rainbolt, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1300 Peachtree Industrial Blvd Ste 4101, Suwanee, GA 30024-4542. The NPI number 1013577873 was assigned on June 14, 2019 and the record was last updated on December 20, 2023.

Bryan Rainbolt lists a license in the registry: #9292 (GA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Rainbolt, PA?

The NPI number is 1013577873.

What is the phone number of Bryan Rainbolt?

The phone number listed for the practice location is (770) 831-5525.

Where is Bryan Rainbolt located?

1300 Peachtree Industrial Blvd Ste 4101, Suwanee, GA 30024-4542.

What is the taxonomy code for Bryan Rainbolt?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Suwanee

All Physician Assistant providers in Suwanee, GA →