Lord, Daniel Bradley

Lord, Daniel Bradley is an individual health care provider with primary practice located at 3855 Pleasant Hill Road Suite 230, Duluth GA 30096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lord, Daniel Bradley can be contacted via phone (770) 495-8300.

Contact Information

Primary practice address
3855 Pleasant Hill Road Suite 230 Duluth GA 30096
Phone: (770) 495-8300
Fax: (770) 495-7646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 038852 Georgia

Profile Details

NPI number 1245224344
LBN Legal business name Lord, Daniel Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Sep 25th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245224344 NPPES
Georgia Other 6943 PROMINA
Georgia Other 4575100 PROMINA
Georgia Other 7462612 PROMINA
Georgia Other 100012565 PROMINA
Georgia Other 29-06974 PROMINA
Georgia Other 582061514003 PROMINA
Georgia Other 6943 PROMINA
Georgia MEDICAID 000623136A PROMINA
Georgia Other 52495718 PROMINA

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