Bradley T Davis
Nurse Practitioner - Gerontology
910 N 5th St
Cordele
, Georgia 31015
Bradley T Davis
Nurse Practitioner - Gerontology
910 N 5th St
Cordele
, Georgia 31015
(229) 276-2289
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Bradley T Davis
- 910 N 5th St
- Cordele, GA
- Zip : 31015-3254
- Fax : (229) 276-2289
- Phone : (229) 276-2286
Second Address
- Bradley T Davis
- 910 N 5th St
- Cordele, GA
- Zip : 31015
- Fax : (229) 276-2289
- Phone : (229) 276-2286
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN191357 | GA |
National Provider Identifier
| NPI | 1083168793 |
|---|---|
| Provider Name | Bradley T Davis |
| First Address | Cordele, GA 31015-3254 |
| Second Address | Cordele, GA 31015 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2016 |
| Last Update Date | 04/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.