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1275223604
MATTHEW BROCKMAN
SAVANNAH, GA
NPI
1275223604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 12284)
Enumeration Date
2023-05-09
Last Update Date
2024-06-19
Business Address
MATTHEW BROCKMAN
210 E DERENNE AVE
SAVANNAH, GA 31405-6736
Phone number: 912-644-5300
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Mailing Address
MATTHEW BROCKMAN
33 LEEWARD DR
SAVANNAH, GA 31419-9474
Phone number:
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