Individual
BRADLEY CONNOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2539
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6117
TN
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
6117
TN
Other
Enumeration date
08/19/2024
Last updated
02/11/2025
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