Individual
MR. EDWARD THOMAS BRADLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1170 SHAWNEE ST, SAVANNAH CBOC, SAVANNAH, GA 31419-1618
(912) 920-0214
Mailing address
1170 SHAWNEE ST, SAVANNAH CBOC, SAVANNAH, GA 31419-1618
(912) 920-0214
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28129
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51544352
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
03/07/2006
Last updated
11/17/2016
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