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Individual

ABBIE BRACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAAA

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-4852
Mailing address
794 RALPH MCGILL BLVD NE, #4, ATLANTA, GA 30312-1125
(678) 362-4868

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004186
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
918579066A
GA
Enumeration date
07/03/2006
Last updated
05/05/2023
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