Individual
DR. CHARLES RAYMOND BRADFORD IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 HARLEY ST, SUITE B, SCOTTSBORO, AL 35768-4294
(256) 259-0734
Mailing address
508 HARLEY ST STE D, SCOTTSBORO, AL 35768-4263
(256) 259-6054
(256) 259-5206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00026295
AL
Other
Enumeration date
06/27/2006
Last updated
04/19/2022
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