Individual
MS. SUSAN BRICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 E CARTER AVE, BLACKSHEAR, GA 31516-1561
(912) 449-4426
(912) 449-1059
Mailing address
120 E CARTER AVE, BLACKSHEAR, GA 31516-1561
(912) 449-4426
(912) 449-1059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031883
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00734467E
—
GA
Enumeration date
07/19/2006
Last updated
07/08/2007
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