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Contact Information

DAVID B BRADLEY, PA
310 HOSPITAL DR STE 330
MACON, GA31217-3895
 Phone: 478-200-8152
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DAVID B BRADLEY · (Male)

NPI # 1710221841
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/15/2012
Last updated 08/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 6664
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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