Search › Georgia › 207R00000X
Mark Brulte, MD
NPI 1205931672 · on the registry since 2006
Practice
- Address
- 200 Doctors Dr
Suite 106
Douglas, GA 31533 - Phone
- (912) 384-3338
- Fax
- (912) 389-0979
- Organisation at this address
- Mppg, Inc.
Coffee Family Medicine
Costrini & Meadows, Pc
Larry E. Forth O.D.P.C.
Douglas Medical SpecialistInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207P00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia