Individual
ETHAN D BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 324-6661
Mailing address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 324-6661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
07/30/2021
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