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DR. BRANDON RICHARD BERGAN M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1346675246

Individual Registrant:
DR. BRANDON RICHARD BERGAN M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
915 GORDON AVE  THOMASVILLE, GA 31792-6614 US
Tel: 229-228-2000  Fax: --

Contact information for business:
915 GORDON AVE  THOMASVILLE, GA 31792-6614 US
Tel: 229-228-2000  Fax: --

Registration Information:
NPI: 1346675246
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA124358
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
GA072536

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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