Michael Lee Brackett, MD | |
122a Gordon Commercial Dr, Lagrange, GA 30240-5740 | |
(706) 845-4035 | |
Not Available |
Full Name | Michael Lee Brackett |
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Gender | Male |
Speciality | Family Medicine |
Location | 122a Gordon Commercial Dr, Lagrange, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083607071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 026462 (Georgia) | Primary |
Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
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Michael Lee Brackett, MD 122a Gordon Commercial Dr, Lagrange, GA 30240-5740 Ph: (706) 845-4035 | Michael Lee Brackett, MD 122a Gordon Commercial Dr, Lagrange, GA 30240-5740 Ph: (706) 845-4035 |
Dr. Mona Batra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Brush Creek Ct, Lagrange, GA 30240 Phone: 706-416-2490 | |
Ahmed Moussa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-812-2369 | |
Clarence Terrell Alford Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Smith St, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 | |
Dr. Srinivas R Bramhadevi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Lafayette Street, Lagrange, GA 30241 Phone: 706-880-7335 Fax: 706-812-2403 | |
Dr. Mohammed Mehboob Qureshi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Vernon Rd, Lagrange, GA 30240 Phone: 706-884-2691 | |
Dr. Gary Ronald Solt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Vernon St, Lagrange, GA 30240 Phone: 706-885-9110 Fax: 706-885-9113 |