Individual
DANIEL G BRADAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFA/CST, AS
Contact information
Practice address
9440 GOFF RIDGE RD, BAXTER, TN 38544-6900
(931) 854-7560
Mailing address
9440 GOFF RIDGE RD, BAXTER, TN 38544-6900
(931) 854-7560
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
TN
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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