Organization
MID-ATLANTIC ELDERCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J GOAD DO (OWNER)
(276) 238-8876
Entity
Organization
Contact information
Practice address
5261 CARROLLTON PIKE, SUITE B, WOODLAWN, VA 24381-3030
(276) 238-8876
(276) 238-8886
Mailing address
5261 CARROLLTON PIKE, SUITE B, WOODLAWN, VA 24381-3030
(276) 238-8876
(276) 238-8886
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN2980
GROUP PTAN
—
Enumeration date
10/05/2007
Last updated
09/24/2014
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