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Individual

JAMES BRADLEY ADDISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
126 CLINIC DR, DOTHAN, AL 36303-1980
(334) 793-1881
(334) 712-1815
Mailing address
126 CLINIC DR, DOTHAN, AL 36303-1980
(334) 793-1881
(334) 712-1815

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1122572
AL

Other

Enumeration date
05/20/2014
Last updated
05/20/2014
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