Individual
SUSAN L BRADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
(706) 845-3459
Mailing address
PMB 195, 3150 EAST HIGHWAY 34, NEWNAN, GA 30265-2122
(770) 251-2060
(678) 854-9235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN051080
GA
Other
Enumeration date
11/28/2006
Last updated
05/16/2014
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