JACK BRADLEY ROYAL

CORDELE, GA
NPI1134483878
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: FL  TRN17253)
Enumeration Date2012-06-27
Last Update Date2021-03-21
Business Address
JACK BRADLEY ROYAL M.D.
902 N 7TH ST
CORDELE, GA 31015-3234
Phone number: 229-276-3100
Mailing Address
JACK BRADLEY ROYAL M.D.
307 E 3RD AVE
CORDELE, GA 31015-3208
Phone number: 229-271-4656
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