Individual
MR. BEN BRADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ANDREWS ST, MILLEDGEVILLE, GA 31061-3839
(478) 454-1026
Mailing address
200 W ANDREWS ST, MILLEDGEVILLE, GA 31061
(478) 454-1026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15300
GA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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