BRADLEY MARTIN

BROOKHAVEN, MS
NPI1841249489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MS  PA00053)
Enumeration Date2006-05-10
Last Update Date2017-01-27
Business Address
Mr. BRADLEY MARTIN PA-C
1014 BIGLANE DRIVE
BROOKHAVEN, MS 39601
Phone number: 601-823-5276
Mailing Address
Mr. BRADLEY MARTIN PA-C
1014 BIG LANE DR
BROOKHAVEN, MS 39601-2331
Phone number: 601-823-5276