Individual
DR. BRADSHAW NEIL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
301 E 16TH AVE, CORDELE, GA 31015-1625
(229) 273-3828
Mailing address
301 E 16TH AVE, CORDELE, GA 31015-1625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014272
GA
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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