Individual
MR. JAMES RANDALL BRADBERRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2400 HIGHWAY 42 N, MCDONOUGH, GA 30253-4738
(404) 569-2463
Mailing address
225 DARWISH DR, MCDONOUGH, GA 30252-3655
(678) 272-7814
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001398
GA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
09/07/2006
Last updated
01/31/2008
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