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1083607071
MICHAEL LEE BRACKETT
LAGRANGE, GA
NPI
1083607071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 026462)
Enumeration Date
2005-08-25
Last Update Date
2007-07-08
Business Address
-- MICHAEL LEE BRACKETT M.D.
122A GORDON COMMERCIAL DR
LAGRANGE, GA 30240-5740
Phone number: 706-845-4035
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Mailing Address
-- MICHAEL LEE BRACKETT M.D.
122A GORDON COMMERCIAL DR
LAGRANGE, GA 30240-5740
Phone number: 706-845-4035
Copy
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