Individual
MRS. ERIN NICHOLE BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
758 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3386
(770) 962-4300
(770) 339-7544
Mailing address
64 OMEGA DR, LAWRENCEVILLE, GA 30044-4221
(678) 206-7155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
05/03/2017
Last updated
11/06/2018
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