Lynn Koenecke Bradley P.A.

NPI 1700817160 - Physician Assistant - 363AM0700X

NPI Details
NPI 1700817160
Gender Female
Enumeration Date 07/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
VA MEDICAL CENTER
1670 CLAIRMONT ROAD
DECATUR GA, 30033-9819, US
Phone (404) 321-6111
Fax (404) 728-4838
Business Location
1047 SWAYING PINES TRCE
MARIETTA GA, 30066-2784, US
Phone (770) 591-7963
Fax (404) 728-4838
Toxanomy
Taxonomy Code 363AM0700X
License State
License Number
Remove 1700817160 NPI Number
 

According to our database, Ms. Lynn Koenecke Bradley P.A. NPI is 1700817160, taxonomy code is 363AM0700X Lynn Koenecke Bradley P.A. physically located at Va Medical Center, Decatur GA, 30033-9819. NPI Number Lynn Koenecke Bradley P.A. has the Individual type.

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1700817160 NPI number is provided on an as is basis without warranty of any kind. 1700817160 is maintained by the National Plan & Provider Enumeration System. The contents of Lynn Koenecke Bradley P.A. are for informational purposes only.