Individual
BRADLEY W ERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8030
Mailing address
304 W RIDGEWOOD AVE, CHATTANOOGA, TN 37415-6426
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000103222
TN
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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