Individual
MRS. JULEA GRACE RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2421 SHILOH DR SW, MARIETTA, GA 30064-4257
(731) 616-8337
Mailing address
2421 SHILOH DR SW, MARIETTA, GA 30064-4257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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