Healthcare Provider Details

I. General information

NPI: 1427112085
Provider Name (Legal Business Name): BRANDY T. ALIOTTA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. BRANDY TAYLOR

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5354 REYNOLDS STREET SUITE 518
SAVANNAH GA
31405
US

IV. Provider business mailing address

836 E. 65TH STREET SUITE 22
SAVANNAH GA
31405
US

V. Phone/Fax

Practice location:
  • Phone: 912-819-9650
  • Fax: 912-819-9651
Mailing address:
  • Phone: 912-819-7878
  • Fax: 912-819-3320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN142957
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: