|Active||Over 6 years ago|
|820 PRUDENTIAL DR STE 304
ATTN: CREDENTIALING DEPARTMENT
JACKSONVILLE FL, 32207-8205, US
|PO BOX 44004
JACKSONVILLE FL, 32231-4004, US
|Remove 1811215643 NPI Number|
According to our database, Dr. Charles Shannon Bradford JR. M.D. NPI is 1811215643, taxonomy code is 207R00000X and license number is 070347, license state is located at Georgia. Charles Shannon Bradford JR. M.D. physically located at 820 Prudential Dr Ste 304, Jacksonville FL, 32207-8205. NPI Number Charles Shannon Bradford JR. M.D. has the Individual type.
1811215643 NPI number is provided on an as is basis without warranty of any kind. 1811215643 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Shannon Bradford JR. M.D. are for informational purposes only.