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Search › Georgia › 183500000X

Robert Brady

NPI 1255932521 · on the registry since 2020 · sole proprietor

Practice

Address
1400 Hudson Bridge Rd
Stockbridge, GA 30281
Phone
(770) 474-0454
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
John C.Vencill O.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-03

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 Georgia