Doctor Name: | MS. ROBIN ANN BRACKETT |
NPI Number: | 1073670709 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 178191 |
Business Practice Address: | 3820 Medical Park Dr. Georgia Lung Associates Pc. Austell, GA - 301061110 |
Business Phone Number: | 7709486041 |
Business Fax Number: | 7709487994 |
Mailing Address: | 3820 Medical Park Dr., Georgia Lung Associates Pc. AUSTELL |
State: | GA |
Postal Code: | 301061110 |
Phone Number: | 7709486041 |
Fax Number: | 7709487994 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 09/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 178191 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |