Bradshaw Family Medical, LLC

NPI #1184374092 in Erwin, Tennessee

Provider Information

NPI Number: 1184374092
Entity Type: Organization
Organization Name: Bradshaw Family Medical, LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 24, 2022
Last Updated: Jul 13, 2022

Practice Location

Address: 108 GAY ST
City: Erwin
State: Tennessee
ZIP Code: 37650-1228
Phone: (423) 388-4525

Authorized Official

Name: MRS. PAMELA BLACK BRADSHAW
Title: CEO
Phone: (423) 388-4525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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