Lanie Ann Bradford

NPI #1851013650 in Colquitt, Georgia

Provider Information

NPI Number
1851013650
Entity Type
Individual
Name
Lanie Ann Bradford
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Enumeration Date
Sep 19, 2022
Last Updated
Sep 19, 2022

Practice Location

Address
385 THOMPSON TOWN RD
State
Georgia
ZIP Code
39837-5231
Phone
(229) 416-8243

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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