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Contact Information

MARK A BRADY
100 E UNIVERSITY ST LOT B
LIVINGSTON, TN38570-1555
 Phone: 931-349-5863
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for MARK A BRADY · (Male)

NPI Number 1144050147
Status Active
Credentials
Entity Individual
Enumeration date 08/05/2024
Last updated 08/06/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
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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