Individual
BRACY B GRAHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1755 HIGHWAY 34 E, SUITE 1100, NEWNAN, GA 30265-5631
(770) 252-7510
(770) 252-7511
Mailing address
3025 SHARPSBURG MCCULLUM RD, BLDG B, NEWNAN, GA 30265-6107
(770) 251-2060
(770) 251-8567
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
50304
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN169732
GA
Other
Enumeration date
11/22/2006
Last updated
04/05/2011
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