Individual
SANDRA GAIL BRICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1806 LEE AVEUNE, TIFTON, GA 31794
(229) 386-1528
Mailing address
1806 LEE AVE, TIFTON, GA 31794-3639
(229) 386-1528
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
045043
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880426A
—
GA
05
—
00880426F
—
GA
05
—
00880426G
—
GA
Enumeration date
06/22/2006
Last updated
06/19/2008
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