Mark Thomas Brulte, MD

NPI #1205931672 in Douglas, Georgia

Provider Information

NPI Number: 1205931672
Entity Type: Individual
Name: Mark Thomas Brulte, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 13, 2006
Last Updated: Dec 8, 2010

Practice Location

Address: 200 DOCTORS DR
Address 2: SUITE 106
City: Douglas
State: Georgia
ZIP Code: 31533-2201
Phone: (912) 384-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Internal Medicine	207R00000X	Primary

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