Provider Demographics
NPI:1205990462
Name:BRACCO, JULIA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ANN
Last Name:BRACCO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:ANN
Other - Last Name:DOST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1635 HIGHWAY 34 E STE D
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-2173
Mailing Address - Country:US
Mailing Address - Phone:470-627-3053
Mailing Address - Fax:470-627-3054
Practice Address - Street 1:1635 HIGHWAY 34 E STE D
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2173
Practice Address - Country:US
Practice Address - Phone:470-627-3053
Practice Address - Fax:470-627-3054
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor