John Martin Bradshaw in Mount Holly - Physician Assistant
John Martin Bradshaw - NPI 1588650394
John Martin Bradshaw is a Physician Assistant in Mount Holly, North Carolina. John Martin Bradshaw practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John Martin Bradshaw is 1588650394. The last update date is 2010-10-07.
John Martin Bradshaw's current location address is 112 Woodlawn Rd, Mount Holly, North Carolina. You can contact this provider via phone number 7048273575 and fax number 7048270840. The mailing address for John Martin Bradshaw is 112 Woodlawn Rd, Mount Holly, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Martin Bradshaw |
|---|---|
| Address | 112 Woodlawn Rd, Mount Holly, North Carolina |
| Phone Number | 7048273575 |
| Fax Number | 7048270840 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1588650394 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2010-10-07 |
Provider Mailing Address Detail
| Address | 112 Woodlawn Rd |
|---|---|
| City | Mount Holly |
| State | North Carolina (NC) |
| Post Code | 281201775 |
| Phone Number | 7048273575 |
| Fax Number | 7048270840 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 102830 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to John Martin Bradshaw by the Centers for Medicare & Medicaid Services?
The John Martin Bradshaw has been issued the NPI (National Provider Identifier) 1588650394. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John Martin Bradshaw's facilities are geographically located?
The facilities of John Martin Bradshaw are physically situated at the following location: 112 Woodlawn Rd, Mount Holly, NC, 281201775.
What is the John Martin Bradshaw's specialty and taxonomy code?
The John Martin Bradshaw's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did John Martin Bradshaw receive its 1588650394 assignment?
The John Martin Bradshaw was assigned its 1588650394 on 2005-09-27, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to John Martin Bradshaw most recently updated or revised?
The information pertaining to John Martin Bradshaw, including its address, specialty, and other relevant details, was last updated or revised on 2010-10-07.