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Individual

DR. DUSTIN H. BRIMBLECOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2501 N. PATTERSON STREET, VALDOSTA, GA 31602-1735
(229) 333-1000
(800) 437-2672
Mailing address
1613 N. HARRISON PARKWAY #200, SUNRISE, FL 33323-2853
(954) 838-2371
(954) 851-1746

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
066996
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
TRN13697
FL

Other

Enumeration date
05/19/2009
Last updated
02/16/2012
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