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Individual

ANDREA CAROL BRADFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4170 ASHFORD DUNWOODY RD NE, ATLANTA, GA 30319-1442
(404) 949-2845
(770) 737-3003
Mailing address
4280 BALL GROUND RD, BALL GROUND, GA 30107-4371
(770) 294-1214
(770) 737-3003

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
026832
GA
2084P0800X
Psychiatry Physician
200100018
NC

Other

Enumeration date
05/30/2008
Last updated
08/01/2012
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