Gregory, Bradley Michael

Gregory, Bradley Michael is an individual health care provider with primary practice located at 950 Matthew Dr , Waynesboro MS 39367-2590. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gregory, Bradley Michael can be contacted via phone (601) 735-5151.

Contact Information

Primary practice address
950 Matthew Dr Waynesboro MS 39367-2590
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00781 Mississippi

Profile Details

NPI number 1871357681
LBN Legal business name Gregory, Bradley Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2024
Last updated Feb 12th, 2024 - about last year

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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