Individual
BRADLEY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
634 SUMMITT AVE, SWAINSBORO, GA 30401-4428
(478) 268-4348
(478) 268-4348
Mailing address
634 SUMMITT AVE, SWAINSBORO, GA 30401-4428
(478) 268-4348
(478) 268-4348
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
012221
GA
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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