MEDICARE: BRENDA MCCARDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	RN061738	GA

General Provider Information

NPI Number	:	1154260560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA MCCARDEN

Provider Business Mailing Address
First Line	:	119 SHANNON CHASE DR
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-1758
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1372 PEACHTREE ST NE # S-02
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3248
Country	:	US
Telephone Number	:	404-375-7808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

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Directions to “ BRENDA MCCARDEN ” Practice Location

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