Search › Alabama › 374U00000X
Bradford Pettaway
NPI 1124605340 · on the registry since 2021 · sole proprietor
Practice
- Address
- 720 Doby Ln
Saraland, AL 36571 - Phone
- (251) 327-9946
- Fax
- (251) 675-1749
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 374U00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama