Bradley Keith Shields
NPI #1073086005 in Florence, Mississippi
Provider Information
- NPI Number
- 1073086005
- Entity Type
- Individual
- Name
- Bradley Keith Shields
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 2, 2019
- Last Updated
- Jan 2, 2019
Practice Location
- Address
- 128 EARL CLARK DR
- City
- Florence
- State
- Mississippi
- ZIP Code
- 39073-6604
- Phone
- (601) 891-8465
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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