Organization
EVENTUS WH MID-ATLANTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY GOAD DO (OWNER)
(855) 743-2247
Entity
Organization
Contact information
Practice address
250 BROWNS HILL CT, MIDLOTHIAN, VA 23114-9510
(855) 743-2247
Mailing address
PO BOX 1431 DEPT 405, CHARLOTTE, NC 28201-1431
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/31/2024
Last updated
09/30/2024
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