Bracewell, Melanie Sue
Bracewell, Melanie Sue is an individual health care provider with primary practice located at 100 Lindsey Ln Suite A, Kingsland GA 31548-6850. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bracewell, Melanie Sue can be contacted via phone (912) 729-1333.Contact Information
Primary practice address
100 Lindsey Ln Suite A
Kingsland GA 31548-6850
Phone: (912) 729-1333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT008069 | Georgia |
Profile Details
| NPI number | 1609814953 |
|---|---|
| LBN Legal business name | Bracewell, Melanie Sue |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Nov 13th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609814953 | NPPES |
| Georgia | MEDICAID | 274053687A | |
| Georgia | Other | 214563 | |
| Georgia | MEDICAID | 274053687B,C,D |
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