Individual
WESLEY DRENNON BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
979 E 3RD ST STE B-601, CHATTANOOGA, TN 37403-2136
(423) 778-5584
Mailing address
2629 PLUM NELLY RD, RISING FAWN, GA 30738-4114
(423) 762-9582
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
37593
TN
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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