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NPI Code Detail

MEDICARE: LINDSEY MORSE BRACEWELL RD

MEDICARE: LINDSEY MORSE BRACEWELL RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian086051948GA

General Provider Information

NPI Number : 1538875919
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY MORSE BRACEWELL RD
Provider Business Mailing Address
First Line : 1654 PRINCESS CIR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30345-4160
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3724 JEFFERSON ST STE 104
Second Line :
City : AUSTIN
State : TX
Zip : 78731-6204
Country : US
Telephone Number : 404-791-7733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2023
Last Update Date : 12/08/2025

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Directions to “ LINDSEY MORSE BRACEWELL RD” Practice Location

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