Organization
QUEEN CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIKA G BRADLEY MD (OWNER)
(478) 742-3937
Entity
Organization
Contact information
Practice address
132 FAIRWAY RUN, FORSYTH, GA 31029-4975
(478) 742-3937
Mailing address
380 HOSPITAL DR, STE 350, MACON, GA 31217-8001
(478) 742-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
057437
GA
208200000X
Plastic Surgery Physician
057437
GA
Other
Enumeration date
03/29/2010
Last updated
06/23/2010
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