Organization
ALBANY INTERNAL MEDICINE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ALAN TRICKEL CMPE (ADMINISTRATOR)
(229) 438-3368
Entity
Organization
Contact information
Practice address
2402 OSLER CT, ALBANY, GA 31707-0205
(229) 438-3302
(229) 438-3384
Mailing address
2402 OSLER CT, ALBANY, GA 31707-0205
(229) 438-3302
(229) 438-3384
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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