Organization
CHAD BRADFORD M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY CHILDRESS CPC (CODER/BILLER)
(256) 259-0734
Entity
Organization
Contact information
Practice address
508 HARLEY ST, SUITE B, SCOTTSBORO, AL 35768-4294
(256) 259-0734
Mailing address
508 HARLEY ST, SUITE B, SCOTTSBORO, AL 35768-4294
(256) 259-0734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00026295
AL
Other
Enumeration date
08/22/2006
Last updated
06/17/2008
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