Individual
DAVID BRANDON BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
310 HOSPITAL DR STE 330, MACON, GA 31217-3895
(478) 200-8152
Mailing address
4433 JOHNSTONVILLE RD, FORSYTH, GA 31029-4925
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
6664
GA
363A00000X
Physician Assistant
Primary
6664
GA
Other
Enumeration date
11/15/2012
Last updated
08/15/2024
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