Whalio Doctors

NPI 1285057059

Gwendolyn Bradley

Practitioner Nurse's Aide Augusta, GA

Practice location

Address
1940 Kings Grant Dr, Augusta, GA 30906-3626
Phone
(706) 564-6729

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence CN0000023113 (GA)

Registry record

NPI
1285057059
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Jan 2014
Record last updated
29 Jan 2014

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.