Individual
JUSTIN THOMAS BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(801) 358-5927
Mailing address
419 BLOEDEL RESERVE WAY APT 101, MARTINEZ, GA 30907-7333
(801) 358-5927
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16483
GA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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