Provider Demographics
NPI:1649409061
Name:TROXLER, HAROLD BRADLEY (DO)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:BRADLEY
Last Name:TROXLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:BRADLEY
Other - Middle Name:
Other - Last Name:TROXLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:900 EAGLES LANDING PKWY
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7343
Mailing Address - Country:US
Mailing Address - Phone:770-997-0900
Mailing Address - Fax:
Practice Address - Street 1:900 EAGLES LANDING PKWY
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7343
Practice Address - Country:US
Practice Address - Phone:770-997-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLOS 11924208100000X
GA71577208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program