Bracy B Graham Ii, CRNA | |
1755 Highway 34 E, Suite 1100, Newnan, GA 30265-5631 | |
(770) 252-7510 | |
(770) 252-7511 |
Full Name | Bracy B Graham Ii |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1755 Highway 34 E, Newnan, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891860169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN169732 (Georgia) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 50304 (Texas) | Secondary |
Entity Name | Digestive Disease Consultants |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710251921 PECOS PAC ID: 1850515040 Enrollment ID: O20191205001480 |
Mailing Address | Practice Location Address |
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Bracy B Graham Ii, CRNA 3025 Sharpsburg Mccullum Rd, Bldg B, Newnan, GA 30265-6107 Ph: (770) 251-2060 | Bracy B Graham Ii, CRNA 1755 Highway 34 E, Suite 1100, Newnan, GA 30265-5631 Ph: (770) 252-7510 |
Rebecca Ryan Bunt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Caitlin Craig Lofaro, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-744-4809 | |
Timothy Joseph Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Newnan Station Dr, Suite A, Newnan, GA 30265 Phone: 770-251-2060 | |
Shawn Biddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E Ste 1100, Newnan, GA 30265 Phone: 770-252-7510 | |
Taylor Michelle Courtner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E Ste 1100, Newnan, GA 30265 Phone: 770-252-7510 | |
Mr. Paul L Duso, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 Newnan Station Drive Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Ramon Kevin Hice, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 |