Individual
KIM BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(404) 644-8027
Mailing address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(404) 644-8027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83443
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000
—
GA
Enumeration date
04/25/2016
Last updated
04/18/2025
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