Individual
DR. GREGORY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
771 COSBY HWY, NEWPORT, TN 37821-3426
(423) 623-1500
(423) 625-1196
Mailing address
148 BACK NINE DR, BANEBERRY, TN 37890-4822
(423) 623-1500
(423) 625-1196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10176
TN
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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