MEDICARE: DR. HAROLD BRADLEY TROXLER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208100000X	Physical Medicine & Rehabilitation Physician	OS 11924	FL
3	208100000X	Physical Medicine & Rehabilitation Physician	71577	GA

General Provider Information

NPI Number	:	1649409061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD BRADLEY TROXLER D.O.

Provider Business Mailing Address
First Line	:	900 EAGLES LANDING PKWY
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-7343
Country	:	US
Telephone Number	:	770-997-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 EAGLES LANDING PKWY
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-7343
Country	:	US
Telephone Number	:	770-997-0600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2009
Last Update Date	:	04/12/2016

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