James Wilkes Bradham INC
NPI #1144771247 in Clarksdale, Mississippi
Provider Information
- NPI Number
- 1144771247
- Entity Type
- Organization
- Organization Name
- James Wilkes Bradham INC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Oct 24, 2016
- Last Updated
- Oct 24, 2016
Practice Location
- Address
- 130 DESOTO AVE
- Address 2
- SUITE 10
- City
- Clarksdale
- State
- Mississippi
- ZIP Code
- 38614-4439
- Phone
- (662) 621-9898
Authorized Official
- Name
- JAMES WILKES BRADHAM
- Title
- OWNER
- Phone
- (662) 621-9898
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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