ANDREW T BRACKIN

STOCKBRIDGE, GA
NPI1316128770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  999999)
Enumeration Date2007-11-14
Last Update Date2007-11-14
Business Address
-- ANDREW T BRACKIN CRNA
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281-5085
Phone number: 678-604-1053
Mailing Address
-- ANDREW T BRACKIN CRNA
PO BOX 102966
ATLANTA, GA 30368-2966
Phone number: 800-919-1190
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