Individual
HOMER ELMER BRECKENRIDGE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-2808
(229) 524-1272
Mailing address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-2808
(229) 524-1272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
019644
GA
208600000X
Surgery Physician
Primary
019644
GA
Other
Enumeration date
09/25/2006
Last updated
12/05/2007
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