Individual provider · Type 1 NPI

Lynn Koenecke Bradley, P.A.

Medical Physician Assistant · Decatur, GA

NPI number 1700817160 Active

Practice location

Va Medical Center, 1670 Clairmont Road
Decatur, GA 30033-9819

Call (404) 321-6111 Map

Fax (404) 728-4838

Mailing address

1047 Swaying Pines Trce
Marietta, GA 30066-2784

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1700817160

Lynn Koenecke Bradley, P.A.'s National Provider Identifier is 1700817160, issued on Jul 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decatur, GA. The record was last updated on Jul 8, 2007.