NPI 1699029603

Brad Headley MD Facs LLC

Organisation Surgery Physician Swainsboro, GA

Practice location

Address: 120 Victory Dr # a, Swainsboro, GA 30401-3235
Phone: (478) 237-3291
Fax: (478) 237-4344
Mailing address: PO Box 568, Swainsboro, GA 30401-0568

Authorised official

Name: William B Headley
Title: General Surgery
Phone: (478) 237-3291

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 039125 (GA)

Other Surgery providers in Georgia →

Registry record

NPI: 1699029603
Entity type: Organization
NPI issued: 30 Oct 2012
Record last updated: 30 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.