Bradley Ridge, P.A.-C

NPI 1902981996 · on the registry since 2006

Practice

Address: 3294 North Oak St. Ext.
Valdosta, GA 31605
Phone: (229) 247-2290
Organisation at this address: Urological Clinic Of Valdosta Pc
Urological Clinic Of Valdosta Ambulatory Surgical Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-03-07

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