Individual
JESSICA RENAE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 4TH AVE S, BIRMINGHAM, AL 35233-1511
(205) 329-7200
Mailing address
1400 4TH AVE S, BIRMINGHAM, AL 35233-1511
(205) 329-7200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD43175
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
12/06/2021
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