MR. Gerald Edwin Brenneman, P.A.C.

NPI #1649201336 in Coats, North Carolina

Provider Information

NPI Number
1649201336
Entity Type
Individual
Name
MR. Gerald Edwin Brenneman, P.A.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.C.
Enumeration Date
Jul 5, 2006
Last Updated
Sep 26, 2012

Practice Location

Address
COATS MEDICAL CLINIC
Address 2
25 NORTH JOHNSON ST.
City
Coats
ZIP Code
27521
Phone
(910) 897-6423

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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