| Mr Johnnie Mack Bradshaw, PA-C | |
|
2001 Randolph Rd, Charlotte, NC 28207-1215 | |
| (704) 323-2000 | |
| Not Available |
| Full Name | Mr Johnnie Mack Bradshaw |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2001 Randolph Rd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740386267 | NPI | - | NPPES |
| 100701 | Other | NC | NC MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 100701 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Johnnie Mack Bradshaw, PA-C 4601 Park Rd, Suite 300, Charlotte, NC 28209-3239 Ph: (704) 323-2000 | Mr Johnnie Mack Bradshaw, PA-C 2001 Randolph Rd, Charlotte, NC 28207-1215 Ph: (704) 323-2000 |
Olga Maria Kramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3101 Latrobe Dr, Charlotte, NC 28211 Phone: 704-376-7362 Fax: 704-376-1939 | |
Kierney Elizabeth Jackson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1255 Fax: 704-446-1276 | |
Christian Sung, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Suite 300 - Adult Cardiology, Charlotte, NC 28203 Phone: 704-373-0212 | |
Mrs. Joanna Beth Wisotsky, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7809 Sardis Rd, Charlotte, NC 28270 Phone: 704-364-4000 Fax: 704-364-4005 | |
Mrs. Christine Mccree Patrocinio Massinga, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3250 Wilkinson Blvd, Charlotte, NC 28208 Phone: 704-319-5176 Fax: 980-819-7900 | |
Shelda Amilcka, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-384-6225 Fax: 704-316-3825 | |
Lindsay Caroline Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2682 Fax: 704-323-3985 |