Brackett, Misty Dawn

Brackett, Misty Dawn is an individual health care provider with primary practice located at 6 Mathis Dr Nw , Rome GA 30165-1242. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Brackett, Misty Dawn can be contacted via phone (706) 270-5000.

Contact Information

Primary practice address
6 Mathis Dr Nw Rome GA 30165-1242
Phone: (706) 270-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1902252356
LBN Legal business name Brackett, Misty Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2016
Last updated May 4th, 2016 - about 9 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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