Fricke, Bradley Lloyd

Fricke, Bradley Lloyd is an individual health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Fricke, Bradley Lloyd can be contacted via phone (770) 607-7339.

Contact Information

Primary practice address
1412 Milstead Ave Ne Conyers GA 30012-3877
Phone: (770) 607-7339
Fax: (770) 607-0789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 067879 Georgia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 067879 Georgia

Profile Details

NPI number 1174701262
LBN Legal business name Fricke, Bradley Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2008
Last updated Apr 13th, 2022 - about 2 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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