Organization
BRADSHAW FAMILY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA BLACK BRADSHAW (CEO)
(423) 388-4525
Entity
Organization
Contact information
Practice address
108 GAY ST, ERWIN, TN 37650-1228
(423) 388-4525
(423) 388-4525
Mailing address
108 GAY ST, ERWIN, TN 37650-1228
(423) 388-4525
(423) 388-4525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
07/13/2022
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