Search › Georgia › 225100000X
Jacqueline Braga
NPI 1396183604 · on the registry since 2013 · sole proprietor
Practice
- Address
- 111 Renegar Way
Saint Simons Island, GA 31522 - Phone
- (912) 219-2029
- Organisation at this address
- Marsh'S Edge, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- SC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia