BENNETT H. BRUCKNER,M.D., P.C.
Osteopathic Medicine at Professional Dr, Lawrenceville, GA

License number
Georgia 034547
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. BENNETT HOWARD BRUCKNER M.D.
Title: PHYSICIAN/OWNER
Phone: (770) 962-9410
Address
Address
575 Professional Dr SUITE 290, Lawrenceville, GA 30045
National Provider ID: 1033370762
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BENNETT H. BRUCKNER,M.D., P.C. at bizstanding.com

BENNETT H. BRUCKNER, M.D., PC

575 Professional Dr STE 290, Lawrenceville, GA 30045

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Bennett H Bruckner MD PC
Registration:
Sep 6, 2001
Inactive since:
Sep 4, 2010
Phone:
(770) 962-9410 (Phone)
State ID:
0140625
Business type:
Domestic Professional Corporation
Receptionist Secretary, Receptionists:
A. Barbara Young (Cfo), Suite 29 SUITE 290, Lawrenceville, GA 30045 (Physical),H. Bennett Bruckner (Ceo), Suite 29 SUITE 290, Lawrenceville, GA 30045 (Physical),Bennett Bruckner (Owner, Gastroenterologist Hepatology, Medical Doctor),...
Agent:
James H. Andros, Esq,#3500, Atlanta, GA 30309 (Physical)

Osteopathic Medicine licenses in Georgia










Other Doctors licenses in Georgia