Individual
DR. TERESA MICHELE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
63 PLEASANT HILL RD, BLAIRSVILLE, GA 30512-2291
(706) 745-2229
(706) 745-0836
Mailing address
PO BOX 2239, BLAIRSVILLE, GA 30514-2239
(706) 745-2229
(706) 745-0836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
058650
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906394
—
NC
05
—
971476565B
—
GA
Enumeration date
08/01/2006
Last updated
03/22/2019
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