TED MORAN BRAXLEY

MACON, GA
NPI1134255904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN 53898 NP)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Mr. TED MORAN BRAXLEY RN 053898 NP
811 HEMLOCK ST
MACON, GA 31201-2144
Phone number: 478-751-6120
Mailing Address
Mr. TED MORAN BRAXLEY RN 053898 NP
811 HEMLOCK ST
MACON, GA 31201-2144
Phone number: 478-751-6120
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