| Bradshaw Family Medical, Llc | |
|
108 Gay St Erwin TN 37650-1228 | |
| (423) 388-4525 | |
| (423) 388-4525 |
| Full Name | Bradshaw Family Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 108 Gay St, Erwin, Tennessee |
| Authorized Official Name and Position | Pamela Black Bradshaw (CEO) |
| Authorized Official Contact | 4233884525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradshaw Family Medical, Llc 108 Gay St Erwin TN 37650-1228 Ph: (423) 388-4525 | Bradshaw Family Medical, Llc 108 Gay St Erwin TN 37650-1228 Ph: (423) 388-4525 |
| NPI Number | 1184374092 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184374092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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