STACY HARRISON BRADFIELD

AUSTELL, GA
NPI1174829386
Former NameSTACY HARRISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  rn170998)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  R109902)
367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R179251)
Enumeration Date2011-02-04
Last Update Date2015-07-14
Business Address
-- STACY HARRISON BRADFIELD SRNA
3870 MEDICAL PARK DR STE 110
AUSTELL, GA 30106-1110
Phone number: 770-948-6824
Mailing Address
-- STACY HARRISON BRADFIELD SRNA
3390 PEACHTREE RD NE STE 1500
ATLANTA, GA 30326-1157
Phone number: 404-920-4950