Provider Demographics
NPI:1235715624
Name:BIRDSONG, BRIANA IACOBONI (MD)
Entity type:Individual
Prefix:DR
First Name:BRIANA
Middle Name:IACOBONI
Last Name:BIRDSONG
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3448 VINEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-1867
Mailing Address - Country:US
Mailing Address - Phone:478-405-0045
Mailing Address - Fax:478-405-0054
Practice Address - Street 1:3448 VINEVILLE AVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-1867
Practice Address - Country:US
Practice Address - Phone:478-405-0045
Practice Address - Fax:478-405-0054
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA13487207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine