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Dr. Elizabeth Shotts Bruner, MD
Military Health Care Provider in Ft. Gordon, Georgia
NPI 1912068818

Elizabeth Shotts Bruner is a Military Health Care Provider based in Lincolnton, GA. Elizabeth Shotts Bruner practices in Ft. Gordon, GA and has the professional credentials of MD. The NPI Number for Elizabeth Shotts Bruner is 1912068818 and holds a License No. 054490 (Georgia).

The current practice location address for Elizabeth Shotts Bruner is Eisenhower Army Medical Center, Ft. Gordon, GA and can be reached out via phone at 706-787-2131 and via fax at 706-787-2123.

Location: Eisenhower Army Medical Center, Ft. Gordon, GA, 30817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912068818
Provider Name
Elizabeth Shotts Bruner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Eisenhower Army Medical Center, Ft. Gordon, GA, 30817
Phone Number
706-787-2131
Fax Number
706-787-2123
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Eisenhower Army Medical Center
City
Ft. Gordon
State
Georgia
Zip
30905
Phone Number
706-787-2131
Fax Number
706-787-2123
person
Provider Business Mailing Address Details
Address
Eisenhower Army Medical Center
City
Ft. Gordon
State
Georgia
Zip
30905
Phone Number
706-787-2131
Fax Number
706-787-2123
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
054490 (Georgia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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