Healthcare Provider Details

I. General information

NPI: 1922486562
Provider Name (Legal Business Name): NOELLE BRESLIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2015
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date: 12/28/2015
Reactivation Date: 04/04/2016

III. Provider practice location address

1000 JOHNSON FERRY RD
SANDY SPRINGS GA
30342-1606
US

IV. Provider business mailing address

1000 JOHNSON FERRY RD
SANDY SPRINGS GA
30342-1606
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-8988
  • Fax:
Mailing address:
  • Phone: 404-851-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number102433
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number301114
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: