Individual
DR. JACK BENJAMIN BRUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1030 13TH ST, COLUMBUS, GA 31901-2240
(706) 327-3937
(706) 596-6658
Mailing address
1030 13TH ST, COLUMBUS, GA 31901-2240
(706) 327-3937
(706) 596-6658
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000993
GA
Other
Enumeration date
07/10/2006
Last updated
07/01/2019
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