Bradley, Jeffrey A

Bradley, Jeffrey A is an individual health care provider with primary practice located at 870 Crestmark Dr Ste 203 , Lithia Springs GA 30122-2665. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bradley, Jeffrey A can be contacted via phone (470) 881-8757.

Contact Information

Primary practice address
870 Crestmark Dr Ste 203 Lithia Springs GA 30122-2665
Phone: (470) 881-8757
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 150598 South Carolina
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 036345 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036345 Georgia

Profile Details

NPI number 1639270853
LBN Legal business name Bradley, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 23rd, 2019 - about 5 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 1639270853 NPPES
South Carolina Other 1295769438 GROUP NPI NUMBER

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