Individual
MRS. SALLY BRUMBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
880 CRESTMARK DR STE 200, LITHIA SPRINGS, GA 30122-2646
(770) 941-8662
(770) 739-6006
Mailing address
880 CRESTMARK DR STE 200, LITHIA SPRINGS, GA 30122-2646
(770) 941-8662
(770) 739-6006
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002152
GA
Other
Enumeration date
08/11/2005
Last updated
02/07/2021
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