Individual
BRADLEY LAMAR CARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 RIVERCHASE DR, PHENIX CITY, AL 36867-7483
(334) 732-3000
(334) 732-3646
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3072
(334) 664-0466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00007157
AL
207Q00000X
Family Medicine Physician
017146
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000148222E
—
GA
05
—
009936825
—
AL
Enumeration date
11/10/2005
Last updated
01/24/2023
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