Individual
JAMES CARY BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14884 HIGHWAY 15, DECATUR, MS 39327
(604) 635-2258
Mailing address
PO BOX 2106, MERIDIAN, MS 39302-2106
(601) 703-4282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25173
MS
207Q00000X
Family Medicine Physician
31567
GA
207Q00000X
Family Medicine Physician
E-3202
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09131382
—
MS
Enumeration date
08/28/2014
Last updated
07/21/2022
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