Bradbury, Thomas Lane

Bradbury, Thomas Lane is an individual health care provider with primary practice located at 59 Executive Park S , Atlanta GA 30329-2208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Bradbury, Thomas Lane can be contacted via phone (404) 778-7188.

Contact Information

Primary practice address
59 Executive Park S Atlanta GA 30329-2208
Phone: (404) 778-7188
Fax: (404) 778-7036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 200600296 North Carolina
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 059130 Georgia

Profile Details

NPI number 1720019698
LBN Legal business name Bradbury, Thomas Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Feb 1st, 2015 - about 11 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720019698 NPPES
North Carolina MEDICAID 5904146

Popular Providers