Brady, Jamie

Brady, Jamie is an individual health care provider with primary practice located at 880 Crestmark Dr Suite 200, Lithia Springs GA 30122-2646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Brady, Jamie can be contacted via phone (770) 941-8662.

Contact Information

Primary practice address
880 Crestmark Dr Suite 200 Lithia Springs GA 30122-2646
Phone: (770) 941-8662
Fax: (770) 739-6006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN073017 Georgia

Profile Details

NPI number 1427043850
LBN Legal business name Brady, Jamie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427043850 NPPES
Georgia MEDICAID 00696308A

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