Individual
MR. BRADLEY EARNEST CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1348 WALTON WAY STE 5700, AUGUSTA, GA 30901-5110
(706) 774-7022
(706) 774-7023
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
—
363L00000X
Nurse Practitioner
Primary
RN238860
GA
Other
Enumeration date
11/06/2007
Last updated
03/10/2020
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