Healthcare Provider Details

I. General information

NPI: 1053061994
Provider Name (Legal Business Name): BRIANNA ENGLISH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 FRANKLIN GTWY SE
MARIETTA GA
30067-8705
US

IV. Provider business mailing address

1405 FRANKLIN GTWY SE
MARIETTA GA
30067-8705
US

V. Phone/Fax

Practice location:
  • Phone: 770-951-5400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number104102
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: