ERIN NICHOLE BRANTLEY

LAWRENCEVILLE, GA
NPI1851827430
Former NameERIN NICHOLE MINGLEDORFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-05-03
Last Update Date2018-11-06
Business Address
Mrs. ERIN NICHOLE BRANTLEY PA
758 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA 30046-3386
Phone number: 770-962-4300
Mailing Address
Mrs. ERIN NICHOLE BRANTLEY PA
64 OMEGA DR
LAWRENCEVILLE, GA 30044-4221
Phone number: 678-206-7155
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