Organization
BD2 PREVENTATIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BRADLEY (MEMBER)
(601) 575-3392
Entity
Organization
Contact information
Practice address
201 COUNTRY COVE CIR, CLINTON, MS 39056-9632
(601) 575-3392
(769) 218-0849
Mailing address
201 COUNTRY COVE CIR, CLINTON, MS 39056-9632
(601) 575-3392
(769) 218-0849
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
MS
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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