Provider Demographics
NPI:1134177801
Name:BRAMLETT, CARA H (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:H
Last Name:BRAMLETT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 E MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-3403
Mailing Address - Country:US
Mailing Address - Phone:706-264-0630
Mailing Address - Fax:
Practice Address - Street 1:508 E MORRIS ST
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-3403
Practice Address - Country:US
Practice Address - Phone:706-264-0630
Practice Address - Fax:706-272-1648
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2012-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4110363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant