person
Mr. Bradley Martin, PA-C
Surgical Physician Assistant in Brookhaven, Mississippi
NPI 1841249489

Bradley Martin is a Surgical Physician Assistant based in Brookhaven, MS and is specialized in Surgical. Bradley Martin practices in Brookhaven, MS and has the professional credentials of PA-C. The NPI Number for Bradley Martin is 1841249489 and holds a License No. PA00053 (Mississippi).

The current practice location address for Bradley Martin is 1014 Biglane Drive, Brookhaven, MS and can be reached out via phone at 601-823-5276 and via fax at 601-823-2206. You can also correspond with Bradley Martin through the mailing address at 1014 BIG LANE DR, BROOKHAVEN, MS - 39601-2331 (mailing address contact number: 601-823-5276).

Location: 1014 Biglane Drive, Brookhaven, MS, 39601-2331
person
Provider Profile Details
NPI Number
1841249489
Provider Name
Bradley Martin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1014 Biglane Drive, Brookhaven, MS, 39601-2331
Phone Number
601-823-5276
Fax Number
601-823-2206
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06974850 05 MS
institution
Provider Business Practice Location Address Details
Address
1014 Biglane Drive
City
State
Zip
39601
Phone Number
601-823-5276
Fax Number
601-823-2206
person
Provider Business Mailing Address Details
Address
1014 Big Lane Dr
City
State
Zip
39601-2331
Phone Number
601-823-5276
Fax Number
601-823-2206
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00053 (Mississippi)
Definition
Definition to come...
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