Individual
MS. CORA LYNN BRAKHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CDE
Contact information
Practice address
7063 VETERANS PKWY, PELL CITY, AL 35125-5114
(205) 814-2419
(205) 814-2429
Mailing address
7063 VETERANS PKWY, PELL CITY, AL 35125-5114
(205) 814-2419
(205) 814-2429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1634
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992809305
—
AL
Enumeration date
06/28/2019
Last updated
06/28/2019
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