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Individual

BRADLEY N WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
113 W HANSELL ST, THOMASVILLE, GA 31792-6664
(229) 226-3060
(855) 460-8658
Mailing address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(229) 226-3060
(855) 460-8658

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
GA047550
GA
207X00000X
Orthopaedic Surgery Physician
ME109799
FL

Other

Enumeration date
02/07/2006
Last updated
09/02/2022
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