Individual
DR. BRANDON RICHARD BERGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-2000
Mailing address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
072536
GA
207R00000X
Internal Medicine Physician
A124358
CA
Other
Enumeration date
09/10/2013
Last updated
08/05/2016
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