Brackett, Michael Lee
Brackett, Michael Lee is an sole proprietor health care provider with primary practice located at 122A Gordon Commercial Dr , Lagrange GA 30240-5740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brackett, Michael Lee can be contacted via phone (706) 845-4035.Contact Information
Primary practice address
122A Gordon Commercial Dr
Lagrange GA 30240-5740
Phone: (706) 845-4035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 026462 | Georgia |
Profile Details
| NPI number | 1083607071 |
|---|---|
| LBN Legal business name | Brackett, Michael Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
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