Brian Douglas Siddall, M.D.
General Practice Physician · MC Rae, GA
Practice location
280 E Willow Creek LnMC Rae, GA 31055-5128
- Phone
- (478) 864-3448
- Fax
- (478) 864-1288
NPI record
- NPI
- 1205029352
- Entity type
- Individual (Type 1)
- Enumeration date
- August 22, 2007
- Last updated
- October 29, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
023227 | GA |
Mailing address
PO Box 3712251 West Elm Street
Wrightsville, GA 31096-0371
- Phone
- (478) 864-3448
- Fax
- (478) 864-1288
About Dr. Siddall
Brian Douglas Siddall, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 280 E Willow Creek Ln, MC Rae, GA 31055-5128. The NPI number 1205029352 was assigned on August 22, 2007 and the record was last updated on October 29, 2018.
Dr. Siddall lists a license in the registry: #023227 (GA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Brian Douglas Siddall, M.D.?
The NPI number is 1205029352.
What is the phone number of Dr. Siddall?
The phone number listed for the practice location is (478) 864-3448.
Where is Dr. Siddall located?
280 E Willow Creek Ln, MC Rae, GA 31055-5128.
What is the taxonomy code for Dr. Siddall?
The primary taxonomy code is 208D00000X – General Practice Physician.
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.