Individual
SANDRA D BRADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TN PEER SPECIALIST
Contact information
Practice address
2035 SAINT JOHN AVE, DYERSBURG, TN 38024-2209
(731) 541-8344
(731) 541-8970
Mailing address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 541-8344
(731) 541-8970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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