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General NPI Number Information
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NPI Number | 1255497533
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Entity Type | Individual
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Provider Name | BRIAN K. CRELLIN DO
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Gender | Male
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1240 EAGLES LANDING PKWY STE 300
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5173
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Country | US
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Telephone | 770-506-4350
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Fax | 770-506-9860
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Provider Business Mailing Address
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Address Line | 3100 INTERSTATE NORTH CIR SE STE 500
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City | ATLANTA
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State | GA
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Zip | 30339-2296
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Country | US
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Telephone | 770-953-6929
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Fax | 770-953-6972
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 109362
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License Number State | GA
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