=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730012089
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALTIX MEDICAL GA P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/05/2026
-----------------------------------------------------
Last Update Date | 06/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2300 LAKEVIEW PKWY STE 759D
-----------------------------------------------------
City | ALPHARETTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30009-9082
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-842-6320
-----------------------------------------------------
Fax | 645-239-2089
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 301 ALMERIA AVE STE 240
-----------------------------------------------------
City | CORAL GABLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33134-5822
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-842-6320
-----------------------------------------------------
Fax | 645-239-2089
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. ERIC STEWART BRITTAIN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 239-842-6320
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------