Larisa Bradford Llc

LBN: Larisa Bradford Llc
Larisa Bradford Llc is an health care organization with primary practice located at 808 Main St Sw , Gainesville GA 30501-4472. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Larisa Bradford Llc can be contacted via phone (404) 808-6071, or through Russell, Larisa via phone (404) 808-6071.

Contact Information

Primary practice address
808 Main St Sw Gainesville GA 30501-4472
Phone: (404) 808-6071
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russell, Larisa Doctor of Medicine (MD)
Phone: (404) 808-6071

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1629803754
LBN Legal business name Larisa Bradford Llc
DBA Doing business as
Authorized official Russell, Larisa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2024
Last updated Jan 23rd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers