Individual
DR. JOSEPH MILTON BROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
389 MULBERRY ST, SUITE 200, MACON, GA 31201-7914
(478) 743-9123
(478) 742-9809
Mailing address
389 MULBERRY ST, SUITE 200, MACON, GA 31201-7914
(478) 743-9123
(478) 742-9809
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22723
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00232361C
—
GA
Enumeration date
06/01/2006
Last updated
04/04/2014
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