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Organization

OB GYN SPECIALISTS OF NORTH ATLANTA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN MARK BRADSHAW MD (PHYSICIAN)
(706) 235-6539
Entity
Organization

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
174400000X
Specialist
Primary
045408
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000793537C
GA
Enumeration date
12/11/2007
Last updated
01/19/2024
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