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J Scott Brickman, MD
Specialist in Tifton, Georgia
NPI 1306849831

J Scott Brickman is a Specialist based in Tifton, GA. J Scott Brickman practices in Tifton, GA and has the professional credentials of MD. The NPI Number for J Scott Brickman is 1306849831 and holds a License No. 45042 (Georgia).

The current practice location address for J Scott Brickman is 4279 Forest Lake Dr W, Tifton, GA and can be reached out via phone at 229-848-6058.

Location: 4279 Forest Lake Dr W, Tifton, GA, 31794-2352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306849831
Provider Name
J Scott Brickman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4279 Forest Lake Dr W, Tifton, GA, 31794-2352
Phone Number
229-848-6058
Fax Number
Provider Enumeration Date
05/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00885266F 05 GA
institution
Provider Business Practice Location Address Details
Address
4279 Forest Lake Dr W
City
Tifton
State
Georgia
Zip
31794-2352
Phone Number
229-848-6058
Fax Number
person
Provider Business Mailing Address Details
Address
4279 Forest Lake Dr W
City
Tifton
State
Georgia
Zip
31794-2352
Phone Number
229-848-6058
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
45042 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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