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Bradley Renick

NPI 1235434440 · on the registry since 2011 · sole proprietor

Practice

Address
1201 Highway 71 S
Mena, AR 71953
Phone
(479) 394-7136
Organisation at this address
Freds Stores Of Tennessee Inc
Mena Medical Center Hospice, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-01-19

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 Arkansas