Individual
AIDEN ROSS BRUMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-1745
(706) 787-1745
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-1745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5255
SC
Other
Enumeration date
12/19/2022
Last updated
03/14/2024
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