Page, Bradley Daniel

Page, Bradley Daniel is an individual health care provider with primary practice located at 2005 Pioneer St Ste C , Waycross GA 31501-6205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Page, Bradley Daniel can be contacted via phone (912) 490-7777.

Contact Information

Primary practice address
2005 Pioneer St Ste C Waycross GA 31501-6205
Phone: (912) 490-7777
Fax: (912) 490-7778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4755 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004775 Georgia

Profile Details

NPI number 1265490098
LBN Legal business name Page, Bradley Daniel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Feb 7th, 2020 - about 6 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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