Individual
ANDREW T BRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
(678) 604-5548
Mailing address
PO BOX 102966, ATLANTA, GA 30368-2966
(800) 919-1190
(706) 737-2272
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
999999
GA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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