Individual
DR. GREGORY BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
3200 SHAKERAG HL, PEACHTREE CITY, GA 30269-6524
(770) 487-0760
Mailing address
3200 SHAKERAG HL, PEACHTREE CITY, GA 30269-6524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012507
GA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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