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Organization
FREDRICK J BRADSHAW MD & JOYCE J BRADSHAW MD INC
Active
Organization
FREDRICK J BRADSHAW MD & JOYCE J BRADSHAW MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE BRADSHAW MD (PRES)
(601) 636-0097
Entity
Organization
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(601) 636-0097
(601) 629-9969
Mailing address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(601) 636-0097
(601) 629-9969
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
09744
MS
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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