Bradford P Donnaud, LMT | |
1423 Martin Nash Rd Sw, Lilburn, GA 30047-1944 | |
(678) 458-7899 | |
Not Available |
Full Name | Bradford P Donnaud |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 1423 Martin Nash Rd Sw, Lilburn, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740951433 | NPI | - | NPPES |
1752 | Other | NCBTMB CERTIFIED CONTINUING EDUCATION PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA000091 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Bradford P Donnaud, LMT 1423 Martin Nash Rd Sw, Lilburn, GA 30047-1944 Ph: (678) 458-7899 | Bradford P Donnaud, LMT 1423 Martin Nash Rd Sw, Lilburn, GA 30047-1944 Ph: (678) 458-7899 |
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