MR. Charles Jeremy Bradshaw, MPAS PA-C
NPI #1043477672 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1043477672
- Entity Type
- Individual
- Name
- MR. Charles Jeremy Bradshaw, MPAS PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- MPAS PA-C
- Enumeration Date
- May 21, 2008
- Last Updated
- May 18, 2020
Practice Location
- Address
- 1849 OLD DONATION PKWY
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23454-3004
- Phone
- (757) 422-8476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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