Sumrall, Bradley T.

Sumrall, Bradley T. is an individual health care provider with primary practice located at 800 1St St Ste 410 , Macon GA 31201-8306. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Sumrall, Bradley T. can be contacted via phone (478) 743-7068.

Contact Information

Primary practice address
800 1St St Ste 410 Macon GA 31201-8306
Phone: (478) 743-7068
Fax: (478) 741-1354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 069720 Georgia
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 69720 Georgia

Profile Details

NPI number 1679689301
LBN Legal business name Sumrall, Bradley T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Feb 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679689301 NPPES
Georgia MEDICAID 003133948A
Georgia MEDICAID 003133948B

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