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Individual

DR. ROBERT ANDREW BRADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
235 S CHURCH ST, ATHENS, GA 30605-1054
(478) 731-9831
(706) 850-6852
Mailing address
235 S CHURCH ST, ATHENS, GA 30605-1054
(478) 731-9831
(706) 850-6852

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
025725
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000290056A
GA
01
07991
BCBS
GA
01
345259
WELLCARE
GA
01
58-1267100
TRICARE
GA
Enumeration date
01/17/2006
Last updated
10/29/2019
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