Individual
MICHAEL LEE BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122A GORDON COMMERCIAL DR, LAGRANGE, GA 30240-5740
(706) 845-4035
Mailing address
122A GORDON COMMERCIAL DR, LAGRANGE, GA 30240-5740
(706) 845-4035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026462
GA
Other
Enumeration date
08/25/2005
Last updated
07/08/2007
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