Individual
DR. CHAUNTAY YVETTE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 E BRUNSWICK ST, BYHALIA, MS 38611
(662) 536-1020
Mailing address
P.O. BOX 698, BYHALIA, MS 38611
(662) 838-2163
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42908
TN
Other
Enumeration date
09/28/2007
Last updated
07/18/2014
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