Individual
BRETT J BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 CLEARVIEW AVE STE 111, DORAVILLE, GA 30340-2137
(770) 246-4446
Mailing address
2000 CLEARVIEW AVE STE 111, DORAVILLE, GA 30340-2137
(770) 246-4446
(770) 451-3343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NCO-000001
GA
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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