Individual
ROBERT NOLAN BRACKENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 SAINT JOSEPHS CANDLER DR STE 200, POOLER, GA 31322-9585
(912) 748-1999
Mailing address
101 SAINT JOSEPHS CANDLER DR STE 200, POOLER, GA 31322-9585
(912) 748-1999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97632
GA
Other
Enumeration date
05/08/2020
Last updated
10/20/2023
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