Bradley Provence

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NPI Number Detailed Information

Provider Information:

Name:	Bradley Provence
Gender:	M
Provider License Number If Given:	7696

NPI Information:

NPI:	1225442155
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/18/2014
Last Update Date:	6/18/2014

Provider Business Mailing Address:

Address:	7899 C ST Millington, TN 38053
Phone Number:	9018722214
Fax Number:

Provider Business Practice Location Address:

Address:	7899 C ST Millington, TN 38053
Phone Number:	9018722214
Fax Number:

Provider Taxonomy:

Primary:	1835N1003X
Secondary (if any):
State:	TN

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About Bradley Provence

Bradley Provence ( BRADLEY PROVENCE ) is A Pharmacist Physician in Millington, TN. The NPI Number for Bradley Provence is 1225442155.

The current location address for Bradley Provence is 7899 C ST Millington, TN 38053 and the contact number is 9018722214 and fax number is . The mailing address for Bradley Provence is 7899 C ST Millington, TN 38053- 9018722214 (mailing address contact number - 9018722214).

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

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FAQs:

What is the NPI Number for Bradley Provence ?

Answer: The NPI Number for Bradley Provence is 1225442155

Where is Bradley Provence located?

Answer: Bradley Provence is located at 7899 C ST Millington, TN 38053.

What is the specialty for Bradley Provence ?

Answer: The Specialty of Bradley Provence is A Pharmacist Physician.

Are there any online reviews for Bradley Provence ?

Answer: Not yet!

Are there any other health care providers in Millington, TN?

Answer: Yes, there are given below...

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