Individual
BRADLEY LOUIS MCCOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-2484
Mailing address
106 PARTRIDGE RDG, WOODSTOCK, GA 30188-3113
(404) 429-8969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031367
GA
Other
Enumeration date
09/15/2020
Last updated
09/17/2020
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