| Dr Chauntay Yvette Bradley, MD | |
|
12 E Brunswick St, Byhalia, MS 38611 | |
| (662) 536-1020 | |
| Not Available |
| Full Name | Dr Chauntay Yvette Bradley |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |