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1821652843
ETHAN MCBRAYER
MOULTRIE, GA
NPI
1821652843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 87094)
Enumeration Date
2019-04-24
Last Update Date
2024-11-20
Business Address
ETHAN MCBRAYER DO
6 HOSPITAL PARK
MOULTRIE, GA 31768-6700
Phone number: 229-985-3320
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Mailing Address
ETHAN MCBRAYER DO
PO BOX 2876
MOULTRIE, GA 31776-2876
Phone number: 229-891-9131
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