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Equilla Brackett
NPI 1982912721 · on the registry since 2010 · sole proprietor
Practice
- Address
- 379 County Line Rd
Jenkinsburg, GA 30234 - Phone
- (770) 775-6949
- Fax
- (770) 504-0783
Registry record
- Primary taxonomy
- Assisted Living Facility
310400000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-09-15
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