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Individual

DOUGLAS KEITH BRADFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
856 BYERS RD, BLAIRSVILLE, GA 30512-3977
(334) 799-1549
Mailing address
856 BYERS RD, BLAIRSVILLE, GA 30512-3977
(334) 799-1549

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-066257
AL
367500000X
Certified Registered Nurse Anesthetist
APRN9349539
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN270343
GA

Other

Enumeration date
01/22/2007
Last updated
07/21/2022
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