Individual
BRADLEY WILSON SUMMERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Mailing address
108 ARGYLL PL, ALBANY, GA 31721-8754
(229) 886-1528
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN226363
GA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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