Bradley T. Sumrall is a Specialist in Macon, Georgia. Bradley T. Sumrall practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bradley T. Sumrall is 1679689301. The last update date is 2018-03-09.
Bradley T. Sumrall's current location address is 800 1st St Ste 410, Macon, Georgia. You can contact this provider via phone number 4787437068 and fax number 4787411354. The mailing address for Bradley T. Sumrall is 800 1st St Ste 410, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley T. Sumrall |
|---|---|
| Address | 800 1st St Ste 410, Macon, Georgia |
| Phone Number | 4787437068 |
| Fax Number | 4787411354 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679689301 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2018-03-09 |
Provider Mailing Address Detail
| Address | 800 1st St Ste 410 |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312018306 |
| Phone Number | 4787437068 |
| Fax Number | 4787411354 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 69720 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003133948A | GA | -- | |
| 003133948B | GA | -- |
Post Comment/ Review Below
What is the Bradley T. Sumrall's unique identification number?
The Bradley T. Sumrall has been assigned the NPI (National Provider Identifier) Number 1679689301 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Bradley T. Sumrall?
The Bradley T. Sumrall is situated at 800 1St St Ste 410, in the city of Macon, state of GA, with the zip code 312018306.
What is Bradley T. Sumrall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley T. Sumrall's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679689301 to Bradley T. Sumrall?
The Centers for Medicare & Medicaid Services assigned the 1679689301 to Bradley T. Sumrall on 2006-08-23.
When was the Bradley T. Sumrall's information last updated?
The Bradley T. Sumrall's information was last updated on 2018-03-09.