Individual
MATTHEW BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5241
Mailing address
33 LEEWARD DR, SAVANNAH, GA 31419-9474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12284
GA
Other
Enumeration date
05/09/2023
Last updated
06/19/2024
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