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BRADY JAMES ABBOTT

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1114508660

Individual Registrant:
 BRADY JAMES ABBOTT 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3203 CARROLL ULMER RD  VALDOSTA, GA 31601-2133 US
Tel: 229-251-0173  Fax: --

Contact information for business:
3203 CARROLL ULMER RD  VALDOSTA, GA 31601-2133 US
Tel: 229-251-0173  Fax: --

Registration Information:
NPI: 1114508660
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
GA
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
GA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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