Individual
HALLIE S. BRIGMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
(912) 389-2105
Mailing address
PO BOX 1287, DOUGLAS, GA 31534-1287
(912) 384-1900
(912) 389-2105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006224
GA
Other
Enumeration date
09/14/2011
Last updated
02/13/2013
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