person
Mr. Robert Lee Bradford, PA-C
Medical Physician Assistant in Thomasville, Georgia
NPI 1669509196

Robert Lee Bradford is a Medical Physician Assistant based in Thomasville, GA and is specialized in Medical. Robert Lee Bradford practices in Thomasville, GA and has the professional credentials of PA-C. The NPI Number for Robert Lee Bradford is 1669509196 and holds a License No. 002033 (Georgia).

The current practice location address for Robert Lee Bradford is 508 Gordon Ave, Thomasville, GA and can be reached out via phone at 229-226-0125 and via fax at 229-226-0195.

Location: 508 Gordon Ave, Thomasville, GA, 31792-6646
person
Provider Profile Details
NPI Number
1669509196
Provider Name
Robert Lee Bradford
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
508 Gordon Ave, Thomasville, GA, 31792-6646
Phone Number
229-226-0125
Fax Number
229-226-0195
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100001321A 05 GA
institution
Provider Business Practice Location Address Details
Address
508 Gordon Ave
City
State
Zip
31792-6646
Phone Number
229-226-0125
Fax Number
229-226-0195
person
Provider Business Mailing Address Details
Address
508 Gordon Ave
City
State
Zip
31792-6646
Phone Number
229-226-0125
Fax Number
229-226-0195
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002033 (Georgia)
Definition
Definition to come...
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