Bradford, Robert Lee

Bradford, Robert Lee is an individual health care provider with primary practice located at 508 Gordon Ave , Thomasville GA 31792-6646. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bradford, Robert Lee can be contacted via phone (229) 226-0125.

Contact Information

Primary practice address
508 Gordon Ave Thomasville GA 31792-6646
Phone: (229) 226-0125
Fax: (229) 226-0195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002033 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2799 Florida

Profile Details

NPI number 1669509196
LBN Legal business name Bradford, Robert Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 9th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669509196 NPPES
Georgia MEDICAID 100001321A

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