Individual
DR. CHARLES RAYMOND BRADFORD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 HARLEY ST, SUITE D, SCOTTSBORO, AL 35768-4294
(256) 259-6054
(256) 259-5206
Mailing address
141 PINE POINT RD, SCOTTSBORO, AL 35769-6555
(256) 259-9425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00007481
AL
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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