Organization
BRADFORD FAMILY HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RAYMOND BRADFORD IV M.D. (PRESIDENT)
(256) 647-3276
Entity
Organization
Contact information
Practice address
508 HARLEY ST, SUITE D, SCOTTSBORO, AL 35768-4294
(256) 259-6054
(256) 259-5206
Mailing address
508 HARLEY ST, SUITE D, SCOTTSBORO, AL 35768-4294
(256) 259-6054
(256) 259-5206
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
00026295
AL
Other
Enumeration date
10/29/2013
Last updated
04/19/2022
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