| Michael Lee Brackett, MD | |
|
122a Gordon Commercial Dr, Lagrange, GA 30240-5740 | |
| (706) 845-4035 | |
| Not Available |
| Full Name | Michael Lee Brackett |
|---|---|
| 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 |
|---|---|---|---|
| 207Q00000X | Family Medicine | 026462 (Georgia) | Primary |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| 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 |
|---|---|
| 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. William B Bohannon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Lafayette Pkwy, Lagrange, GA 30241 Phone: 706-803-8190 | |
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. 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 | |
Olumide Adeniyl Ajayi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Old Mill Rd Ste 100, Lagrange, GA 30241 Phone: 706-803-8500 | |
Dr. Katherine A. Hemby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Smith St, Lagrange, GA 30240 Phone: 706-882-8331 |