Individual
MRS. JOANNE S BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 BETHELVIEW RD, SUITE 110-442, CUMMING, GA 30040-9475
(404) 617-6483
(888) 404-9855
Mailing address
2300 BETHELVIEW RD, SUITE 110-442, CUMMING, GA 30040-9475
(404) 617-6483
(888) 404-9855
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
L01300028
GA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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