Individual
BRADLEY JAMES CONNAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(904) 477-7683
Mailing address
4975 PATTON DR, VALDOSTA, GA 31605-7573
(904) 477-7683
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/19/2020
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