Provider Demographics
NPI:1841941911
Name:FILES, JUSTIN BRADRICK
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:BRADRICK
Last Name:FILES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 LONE OAK DR
Mailing Address - Street 2:
Mailing Address - City:WEAVER
Mailing Address - State:AL
Mailing Address - Zip Code:36277-3428
Mailing Address - Country:US
Mailing Address - Phone:256-473-6305
Mailing Address - Fax:
Practice Address - Street 1:46 LONE OAK DR
Practice Address - Street 2:
Practice Address - City:WEAVER
Practice Address - State:AL
Practice Address - Zip Code:36277-3428
Practice Address - Country:US
Practice Address - Phone:256-473-6305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program