Individual
BRADLEY PAUL KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 SISKIN PLZ STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
9700
GA
208600000X
Surgery Physician
Primary
9700
GA
363AM0700X
Medical Physician Assistant
4504
TN
363AM0700X
Medical Physician Assistant
9700
GA
Other
Enumeration date
03/23/2020
Last updated
08/06/2025
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