DOUGLAS KEITH BRADFORD

BLAIRSVILLE, GA
NPI1033263603
Professional NameDOUGLAS KEITH BRADFORD
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN270343)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-066257)
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  APRN9349539)
Enumeration Date2007-01-22
Last Update Date2022-07-21
Business Address
DOUGLAS KEITH BRADFORD CRNA
856 BYERS RD
BLAIRSVILLE, GA 30512-3977
Phone number: 334-799-1549
Mailing Address
DOUGLAS KEITH BRADFORD CRNA
856 BYERS RD
BLAIRSVILLE, GA 30512-3977
Phone number: 334-799-1549