Individual
BRADLEY MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2334
(931) 783-2253
Mailing address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2334
(931) 783-2253
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2618
TN
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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