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Individual

MARCUS BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4145 LAWRENCEVILLE HWY NW STE 8, LILBURN, GA 30047-2807
(678) 691-7163
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
09/19/2023
Last updated
09/19/2023
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