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Individual

JENNIFER L BRUGGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
61 WHITCHER ST NE, SUITE 1100, MARIETTA, GA 30060-1176
(770) 422-3290
(770) 422-0287
Mailing address
61 WHITCHER ST NE, SUITE 1100, MARIETTA, GA 30060-1176
(770) 422-3290
(770) 422-0287

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
071473
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003148826A
GA
05
003148837A
GA
Enumeration date
06/12/2008
Last updated
10/27/2021
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