CHARLES JEREMY BRADSHAW

VIRGINIA BEACH, VA
NPI1043477672
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110003574)
Additional Taxonomies363A00000X Physician Assistant
(Licence: GA  1081007)
Enumeration Date2008-05-21
Last Update Date2020-05-18
Business Address
Mr. CHARLES JEREMY BRADSHAW MPAS PA-C
1849 OLD DONATION PKWY
VIRGINIA BEACH, VA 23454-3004
Phone number: 757-422-8476
Mailing Address
Mr. CHARLES JEREMY BRADSHAW MPAS PA-C
1115 BOULDERS PKWY STE 200
NORTH CHESTERFIELD, VA 23225-4067
Phone number: 804-327-9242