Braxley, Ted Moran

Braxley, Ted Moran is an individual health care provider with primary practice located at 811 Hemlock St , Macon GA 31201-2144. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Braxley, Ted Moran can be contacted via phone (478) 751-6120.

Contact Information

Primary practice address
811 Hemlock St Macon GA 31201-2144
Phone: (478) 751-6120
Fax: (478) 751-6099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN 53898 NP Georgia

Profile Details

NPI number 1134255904
LBN Legal business name Braxley, Ted Moran
Credentials RN 053898 NP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
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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