Individual
STACY HARRISON BRADFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SRNA
Contact information
Practice address
3870 MEDICAL PARK DR, STE 110, AUSTELL, GA 30106-1110
(770) 948-6824
Mailing address
3390 PEACHTREE RD NE, STE 1500, ATLANTA, GA 30326-1157
(404) 920-4950
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R109902
SC
367500000X
Certified Registered Nurse Anesthetist
R179251
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
RN170998
GA
Other
Enumeration date
02/04/2011
Last updated
07/14/2015
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