Individual
BRADFORD A JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
2442 PLANTERS MILL WAY, CONYERS, GA 30012-3691
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 1013, CONYERS, GA 30012-1013
(770) 899-4908
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
10/31/2023
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