Brawner, Madison Tucker

Brawner, Madison Tucker is an individual health care provider with primary practice located at 817 E 66Th St , Savannah GA 31405-4507. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Brawner, Madison Tucker can be contacted via phone (912) 354-9990.

Contact Information

Primary practice address
817 E 66Th St Savannah GA 31405-4507
Phone: (912) 354-9990
Fax: (912) 352-2304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD000456 Georgia

Profile Details

NPI number 1518948421
LBN Legal business name Brawner, Madison Tucker
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 18th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518948421 NPPES
Georgia MEDICAID 000178912A

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