Brad Headley MD Facs LLC

NPI #1699029603 in Swainsboro, Georgia

Provider Information

NPI Number
1699029603
Entity Type
Organization
Organization Name
Brad Headley MD Facs LLC
Primary Specialty
Surgery
Enumeration Date
Oct 30, 2012
Last Updated
Oct 30, 2012

Practice Location

Address
120 VICTORY DR # A
State
Georgia
ZIP Code
30401-3235
Phone
(478) 237-3291

Authorized Official

Name
DR. WILLIAM B HEADLEY, M.D.
Title
GENERAL SURGERY
Phone
(478) 237-3291

Specialties & Taxonomy Codes

Specialty
Surgery

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