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1588835573
MICHAEL BROCKETT
LAWRENCEVILLE, GA
NPI
1588835573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA PA2316)
Enumeration Date
2008-03-18
Last Update Date
2016-03-25
Business Address
-- MICHAEL BROCKETT MD
631 PROFESSIONAL DR SUITE 360
LAWRENCEVILLE, GA 30046-3367
Phone number: 781-744-8000
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Mailing Address
-- MICHAEL BROCKETT MD
631 PROFESSIONAL DR SUITE 360
LAWRENCEVILLE, GA 30046-3367
Phone number: 781-744-8000
Copy
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