Individual
ALLI NICKELL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1404 TUSCULUM BLVD STE 3000, GREENEVILLE, TN 37745-4648
(423) 638-1188
(833) 908-2068
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5441
TN
Other
Enumeration date
05/24/2021
Last updated
08/07/2024
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