NPI 1205902699

Susan L Braddy, CRNA

Practitioner Certified Registered Nurse Anesthetist Lagrange, GA

Practice location

Address: 1514 Vernon Rd, Lagrange, GA 30240-4131
Phone: (706) 882-1411
Fax: (706) 845-3459
Mailing address: Pmb 195, 3150 East Highway 34, Newnan, GA 30265-2122

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN051080 (GA)

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Registry record

NPI: 1205902699
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2006
Record last updated: 16 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.