Wall, Bradford

Wall, Bradford is an individual health care provider with primary practice located at 15 Medical Dr Ne , Cartersville GA 30121-8005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wall, Bradford can be contacted via phone (770) 386-5221.

Contact Information

Primary practice address
15 Medical Dr Ne Cartersville GA 30121-8005
Phone: (770) 386-5221
Fax: (770) 386-1128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5956 Kansas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 062298 Georgia

Profile Details

NPI number 1568684975
LBN Legal business name Wall, Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jan 20th, 2014 - about 12 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 1568684975 NPPES
Tennessee MEDICAID 3709355

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