Individual
DR. BRADLEY HEYWARD CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010437
GA
2255A2300X
Athletic Trainer
AT001041
GA
Other
Enumeration date
10/20/2011
Last updated
05/01/2025
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