BRADLEY GENE RIDGE

VALDOSTA, GA
NPI1902981996
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  004094)
Enumeration Date2006-10-26
Last Update Date2012-03-07
Business Address
Mr. BRADLEY GENE RIDGE P.A.-C
3294 NORTH OAK ST. EXT.
VALDOSTA, GA 31605
Phone number: 229-247-2290
Mailing Address
Mr. BRADLEY GENE RIDGE P.A.-C
3294 NORTH OAK ST. EXT.
VALDOSTA, GA 31605
Phone number: 229-241-1188