Individual
SOPHIA BRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3379 PEACHTREE RD NE # 756, ATLANTA, GA 30326-1031
(708) 265-3064
Mailing address
3379 PEACHTREE RD NE # 756, ATLANTA, GA 30326-1031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN311493
GA
163WC0400X
Case Management Registered Nurse
RN311493
GA
163WH0200X
Home Health Registered Nurse
Primary
RN311493
GA
163WI0500X
Infusion Therapy Registered Nurse
RN311493
GA
251F00000X
Home Infusion Agency
RN311493
GA
Other
Enumeration date
12/17/2019
Last updated
07/14/2024
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