Individual
JOYCE BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123284
—
MS
Enumeration date
01/05/2007
Last updated
03/31/2008
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