Individual
BRAD M GINEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
342 COX BLVD, SHEFFIELD, AL 35660-4020
(256) 383-4473
(256) 381-5232
Mailing address
PO BOX 2587, MUSCLE SHOALS, AL 35662-2587
(256) 383-4473
(256) 381-5232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26857
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326373861
GROUP NPI
AL
Enumeration date
09/20/2006
Last updated
10/07/2014
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