Individual
FRED BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2451 FILLINGIM ST, MOBILE, AL 36617-2238
(251) 471-7177
Mailing address
8255 BRACKETT LN, SEMMES, AL 36575-4550
(251) 649-4414
(251) 649-8283
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-031202
AL
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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