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1841249489
BRADLEY MARTIN
BROOKHAVEN, MS
NPI
1841249489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: MS PA00053)
Enumeration Date
2006-05-10
Last Update Date
2017-01-27
Business Address
MR. BRADLEY MARTIN PA-C
1014 BIGLANE DRIVE
BROOKHAVEN, MS 39601
Phone number: 601-823-5276
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Mailing Address
MR. BRADLEY MARTIN PA-C
1014 BIG LANE DR
BROOKHAVEN, MS 39601-2331
Phone number: 601-823-5276
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