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Individual

MRS. CARMEN BRADSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3200 DOWNWOOD CIR NW, ATLANTA, GA 30327-1610
(470) 312-3696
Mailing address
3200 DOWNWOOD CIR NW, ATLANTA, GA 30327-1610
(470) 312-3696

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN269049
GA

Other

Enumeration date
08/23/2020
Last updated
09/24/2020
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