Individual
MR. RICHARD BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(229) 434-2161
(229) 434-2502
Mailing address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(229) 434-2161
(229) 434-2502
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
002558
GA
Other
Enumeration date
11/02/2005
Last updated
08/29/2007
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