Individual
BRADLEY SCOTT DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 JOHNSON FERRY RD, STE 940, ATLANTA, GA 30342-1626
(404) 851-6000
(404) 252-2736
Mailing address
980 JOHNSON FERRY RD, STE 940, ATLANTA, GA 30342-1626
(404) 851-6000
(404) 252-2736
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
053692
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505865611A
—
GA
05
—
505865611C
—
GA
Enumeration date
09/29/2005
Last updated
12/15/2020
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