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Individual

BRADLEY EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
7714 CONNER RD STE 105, POWELL, TN 37849-3559
(865) 947-6220
(865) 512-1069
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/11/2012
Last updated
11/11/2021
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