Dr Chauntay Yvette Bradley, MD | |
12 E Brunswick St, Byhalia, MS 38611 | |
(662) 536-1020 | |
Not Available |
Full Name | Dr Chauntay Yvette Bradley |
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Gender | Female |
Speciality | Family Medicine |
Location | 12 E Brunswick St, Byhalia, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407043987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 42908 (Tennessee) | Primary |
Entity Name | Northeast Mississippi Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558410738 PECOS PAC ID: 5294717377 Enrollment ID: O20040602001469 |
Mailing Address | Practice Location Address |
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Dr Chauntay Yvette Bradley, MD P.o. Box 698, Byhalia, MS 38611 Ph: (662) 838-2163 | Dr Chauntay Yvette Bradley, MD 12 E Brunswick St, Byhalia, MS 38611 Ph: (662) 536-1020 |
Dr. Henry Grady Marlow Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12 East Brunswick, Byhalia, MS 38611 Phone: 662-838-2163 Fax: 662-838-7944 | |
Dr. Annabelle D. Cabe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 East Brunswick, Byhalia, MS 38611 Phone: 662-838-2163 Fax: 662-838-7944 | |
Dr. Clifton Rodgers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 East Brunswick, Byhalia, MS 38611 Phone: 662-838-2163 Fax: 662-838-7944 |