Individual
BRADLEY T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
910 N 5TH ST STE C, CORDELE, GA 31015-3254
(229) 805-9770
Mailing address
910 N 5TH ST STE C, CORDELE, GA 31015-3254
(229) 805-9770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN191357
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN191357
GA
Other
Enumeration date
08/10/2016
Last updated
02/26/2026
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