NPI 1851013650

Lanie Ann Bradford

Practitioner Physician Assistant Colquitt, GA

Practice location

Address: 385 Thompson Town Rd, Colquitt, GA 39837-5231
Phone: (229) 416-8243

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1851013650
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2022
Record last updated: 19 Sep 2022

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.