MEDICARE: DR. BRIAN ELLIOT SENG D.O.

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	207X00000X	Orthopaedic Surgery Physician	073059	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01238677	OTHER	NC	MEDICARE RR
3	JO9153082	OTHER	OH	MEDICARE GROUP#

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477674877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN ELLIOT SENG D.O.

Provider Business Mailing Address
First Line	:	470 NORTHSIDE CHEROKEE BLVD STE 160
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-8029
Country	:	US
Telephone Number	:	770-292-6500
Fax Number	:	770-292-6535

Provider Business Practice Location Address
First Line	:	470 NORTHSIDE CHEROKEE BLVD STE 160
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-8029
Country	:	US
Telephone Number	:	770-292-6500
Fax Number	:	770-292-6535

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/19/2020

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Directions to “ DR. BRIAN ELLIOT SENG D.O.” Practice Location

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