Individual
BRADLEY T SUMRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 1ST ST STE 410, MACON, GA 31201-8306
(478) 743-7068
(478) 741-1354
Mailing address
800 1ST ST STE 410, MACON, GA 31201-8306
(478) 743-7068
(478) 741-1354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
069720
GA
207RX0202X
Medical Oncology Physician
Primary
69720
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133948A
—
GA
05
—
003133948B
—
GA
05
—
003133948F
—
GA
05
—
003133948G
—
GA
05
—
003133948H
—
GA
Enumeration date
08/23/2006
Last updated
09/02/2025
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