Individual
ASHLIE LYNN BRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W PINE ST, COLQUITT, GA 39837-3526
(229) 758-3002
(229) 758-9415
Mailing address
112 N CUTHBERT ST, COLQUITT, GA 39837-3419
(229) 758-3002
(229) 758-9415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN194942
GA
Other
Enumeration date
08/12/2020
Last updated
07/07/2022
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