Individual provider · Type 1 NPI

Jennifer Elaine Bradberry, ATC

Specialist · Duluth, GA

NPI number 1104964568 Active

Practice location

6340 Sugarloaf Pkwy, Suite 375
Duluth, GA 30097-4333

Call (770) 814-2223 Map

Fax (770) 814-2232

Mailing address

3175 Superior Dr
Dacula, GA 30019-3417

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAT001336 (GA)

Specialist: 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.

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About NPI 1104964568

Jennifer Elaine Bradberry, ATC's National Provider Identifier is 1104964568, issued on Feb 1, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Duluth, GA. The record was last updated on Jul 8, 2007.