Individual
TOMMY JASON BRACKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
COMDT (CG-1122) U.S. COAST GUARD, 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
(305) 953-2261
(305) 953-2251
Mailing address
COMDT (CG-1122) U.S. COAST GUARD, 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
(865) 599-8870
(865) 599-8870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2006
Last updated
05/26/2016
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