Individual
DR. BRUCE L BROADRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD., LPC
Contact information
Practice address
706 S THORNTON AVE STE 3, DALTON, GA 30720-8212
(706) 250-0233
Mailing address
706 S THORNTON AVE STE 3, DALTON, GA 30720-8212
(706) 250-0233
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4163
TN
101YP2500X
Professional Counselor
LPC011947
GA
183500000X
Pharmacist
Primary
RPH022581
GA
Other
Enumeration date
03/20/2006
Last updated
09/21/2021
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