JOHNNIE MACK BRADSHAW

CHARLOTTE, NC
NPI1740386267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  100701)
Enumeration Date2006-09-15
Last Update Date2014-02-28
Business Address
Mr. JOHNNIE MACK BRADSHAW PA-C
2001 RANDOLPH RD
CHARLOTTE, NC 28207-1215
Phone number: 704-323-2000
Mailing Address
Mr. JOHNNIE MACK BRADSHAW PA-C
4601 PARK RD SUITE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2000
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