Provider Demographics
NPI:1316727407
Name:BARNETT, BRANDON (EMT-I)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:BARNETT
Suffix:
Gender:M
Credentials:EMT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 EMERSON LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6641
Mailing Address - Country:US
Mailing Address - Phone:678-979-9286
Mailing Address - Fax:
Practice Address - Street 1:1787 EMERSON LAKE CIR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6641
Practice Address - Country:US
Practice Address - Phone:678-979-9286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAI042814146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate