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Mr. Johnnie Mack Bradshaw, PA-C
Physician Assistant in Charlotte, North Carolina
NPI 1740386267

Johnnie Mack Bradshaw is a Physician Assistant based in Charlotte, NC. Johnnie Mack Bradshaw practices in Charlotte, NC and has the professional credentials of PA-C. The NPI Number for Johnnie Mack Bradshaw is 1740386267 and holds a License No. 100701 (North Carolina).

The current practice location address for Johnnie Mack Bradshaw is 2001 Randolph Rd, Charlotte, NC and can be reached out via phone at 704-323-2000.

Location: 2001 Randolph Rd, Charlotte, NC, 28209-3239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740386267
Provider Name
Johnnie Mack Bradshaw
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2001 Randolph Rd, Charlotte, NC, 28209-3239
Phone Number
704-323-2000
Fax Number
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100701 01 NC NC MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2001 Randolph Rd
City
Charlotte
State
North Carolina
Zip
28207-1215
Phone Number
704-323-2000
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Randolph Rd
City
Charlotte
State
North Carolina
Zip
28207-1215
Phone Number
704-323-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
100701 (North Carolina)
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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