Bradley, Lynn Koenecke
Bradley, Lynn Koenecke is an individual health care provider with primary practice located at Va Medical Center 1670 Clairmont Road, Decatur GA 30033-9819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bradley, Lynn Koenecke can be contacted via phone (404) 321-6111.Contact Information
Primary practice address
Va Medical Center 1670 Clairmont Road
Decatur GA 30033-9819
Phone: (404) 321-6111
Fax: (404) 728-4838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1700817160 |
|---|---|
| LBN Legal business name | Bradley, Lynn Koenecke |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
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