person
Jordan H Bradshaw, DO
Student in an Organized Health Care Education/Training Program in Rome, Georgia
NPI 1477249993

Jordan H Bradshaw is a Student in an Organized Health Care Education/Training Program based in Rome, GA. Jordan H Bradshaw practices in Rome, GA and has the professional credentials of DO. The NPI Number for Jordan H Bradshaw is 1477249993 and holds a License No. (Georgia).

The current practice location address for Jordan H Bradshaw is 304 Shorter Ave Nw Ste 201, Rome, GA and can be reached out via phone at 706-509-3300.

Location: 304 Shorter Ave Nw Ste 201, Rome, GA, 30165-4256
person
Provider Profile Details
NPI Number
1477249993
Provider Name
Jordan H Bradshaw
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
304 Shorter Ave Nw Ste 201, Rome, GA, 30165-4256
Phone Number
706-509-3300
Fax Number
Provider Enumeration Date
04/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
304 Shorter Ave Nw Ste 201
City
State
Zip
30165-4256
Phone Number
706-509-3300
Fax Number
person
Provider Business Mailing Address Details
Address
304 Shorter Ave Nw Ste 201
City
State
Zip
30165-4256
Phone Number
706-509-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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