Individual
MR. BRADFORD SCOTT WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3104 HOLLY HAVEN DR, AUGUSTA, GA 30907-3781
(706) 399-8865
Mailing address
3104 HOLLY HAVEN DR, AUGUSTA, GA 30907-3781
(706) 399-8865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN156615
GA
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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