Individual
DR. BRADFORD J PIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3284 DOGWOOD DR, HAPEVILLE, GA 30354-1158
(404) 761-6200
(404) 761-0825
Mailing address
3284 DOGWOOD DR, HAPEVILLE, GA 30354-1158
(404) 761-6200
(404) 761-0825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002138
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004549922
AETNA
GA
05
—
00300704A
—
GA
01
—
158550800
DEPARTMENT OF LABOR
GA
01
—
350051350
RAILROAD MEDICARE
GA
01
—
935698
BLUE CROSS BLUE SHIELD
GA
Enumeration date
09/15/2006
Last updated
09/26/2012
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