Individual
BRITTANY BERGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905
(762) 408-1533
Mailing address
6254 WARM SPRINGS RD, APT I-6, COLUMBUS, GA 31909-9133
(760) 793-2044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002397
GA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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