Donna Marie Bradley, CERTIFIED HAIR LOSS
Individual provider Active NPI Prosthetics Case Management · Martinez, GA
NPI 1346720737 · NPPES record last updated Aug 15, 2018
Key facts
- NPI
- 1346720737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetics Case Management 1744P3200X
- Practice address
- 3995 Dowling Dr
Martinez, GA 30907-1488 - Phone
- (706) 394-9393
- Fax
- (877) 635-1839
- NPI assigned
- Aug 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | GA | Yes |
Addresses
Primary practice location
3995 Dowling Dr
Martinez, GA 30907-1488
Mailing address
3995 Dowling Dr
Martinez, GA 30907-1488
Phone (706) 394-9393
Other providers in Martinez, GA
- Kimberly Dawn Booker
- Elizabeth Boswell
- Jason Michael Bouvier
- Jennifer Bowen
- A'Raya Bradley
- Shyla Marshay Brailsford
- Chadwick Brantley
- David H. Brantley
- David Willis Brantley
- Jerika D Bratton
All providers in Martinez, GA · Prosthetics Case Management in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.