MEDICARE: DR. BRANDON ESTROFF

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	208000000X	Pediatrics Physician	91978	GA

General Provider Information

NPI Number	:	1750840062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON ESTROFF

Provider Business Mailing Address
First Line	:	195 14H ST NE
Second Line	:	#1606
City	:	ATLANTA
State	:	GA
Zip	:	30309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6095 BARFIELD RD STE 200
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-4408
Country	:	US
Telephone Number	:	404-256-2688
Fax Number	:

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

Provider Enumeration Date	:	03/16/2019
Last Update Date	:	03/21/2023

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Directions to “ DR. BRANDON ESTROFF ” Practice Location

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