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Individual

BRADY OWEN WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2000 VILLAGE PROFESSIONAL DR, CANTON, GA 30114-8498
(678) 661-4545
Mailing address
2000 VILLAGE PROFESSIONAL DR, CANTON, GA 30114-8498
(678) 661-4545

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN316976
GA

Other

Enumeration date
08/13/2025
Last updated
12/30/2025
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