Individual
ELIZABETH BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
619 19TH ST S WEST PAVILION 9TH FLOOR RM# P902, BIRMINGHAM, AL 35294-1900
(205) 934-4011
Mailing address
801 MONTCLAIR RD APT 4407, BIRMINGHAM, AL 35213-2035
(407) 493-9950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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