BRADFORD FAMILY HEALTHCARE PC NPI 1407284532

NPI Information

BRADFORD FAMILY HEALTHCARE PC is a health service clinic center in Scottsboro, AL. BRADFORD FAMILY HEALTHCARE PC NPI is 1407284532. The provider is registered as an organization entity type.

The provider's business location address is:

508 HARLEY ST
SUITE D
SCOTTSBORO, AL
ZIP 35768-294
Phone: (256) 259-6054
Fax: (256) 259-5206

The provider's authorized official is Charles Raymond Bradford .
The authorized official title is President and has the following contact phone number (256) 647-3276.

The CLIA number assigned to this NPI record is 01D1056642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 4/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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