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Individual

DR. STEVEN MARK BRADSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 W 10TH ST NE, ROME, GA 30165-2639
(706) 235-6539
(706) 235-6541
Mailing address
PO BOX 1068, ROME, GA 30162-1068
(706) 235-6539
(706) 235-6541

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
045408
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000793537C
GA
Enumeration date
08/11/2006
Last updated
02/07/2024
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