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NPI 1124605340

IndividualActive

Bradford Pettaway

NPI 1124605340 · Home Health Aide · Saraland, AL

Provider details

NPI number: 1124605340
Entity type: Individual
Primary specialty: Home Health AideNursing Service Related Providers
Sex: Male
Sole proprietor: Yes

Practice location

720 Doby Ln

Saraland, AL 36571-2340

Phone: (251) 327-9946

Fax: (251) 675-1749

More AL providers

Mailing address

720 Doby Ln

Saraland, AL 36571-2340

Registry dates

Enumerated: 2021-03-24
Last updated: 2021-03-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bradford Pettaway — NPI 1124605340, Saraland, AL | NPI Central