Bradley Provence is a pharmacist who is specialized in Nutrition Support in Millington, Tennessee. Patients can reach him at 7899 C St, Millington or contact him on 901-872-2214. Active license number of Bradley Provence is 7696 for Nutrition Support in Tennessee. Bradley Provence is 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.
Complete Profile:
Bradley Provence speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Bradley Provence
Specialization:
Nutrition Support
Gender:
Male
Location:
7899 C St, Millington, Tennessee, 38053-2137
Phone:
901-872-2214
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Bradley Provence are as mentioned below.
NPI Number:
1225442155
NPI Enumeration Date:
18 Jun, 2014
NPI Last Update On:
18 Jun, 2014
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bradley Provence are as mentioned below.
Specialization
License Number
State
Status
Nutrition Support
7696
Tennessee
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7899 C St, Millington, Tennessee
Zip:
38053-2137
Phone Number:
901-872-2214
Fax Number:
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Patients can reach Bradley Provence at 7899 C St, Millington, Tennessee or can call on phone at 901-872-2214.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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