Individual
AIDEN 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
12210
GA
363A00000X
Physician Assistant
Primary
5255
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16134964
CAQH
—
Enumeration date
12/19/2022
Last updated
07/29/2026
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