Individual provider · Type 1 NPI

Angie S. Bradley, PA-C

Surgical Physician Assistant · Woodstock, GA

NPI number 1811322340 Active

Practice location

1505 Stonebridge Parkway, Suite 200
Woodstock, GA 30189

Call (770) 926-9112 Map

Fax (770) 926-8240

Mailing address

300 Tower Road, Suite 200
Marietta, GA 30060-9403

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X006885 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1811322340

Angie S. Bradley, PA-C's National Provider Identifier is 1811322340, issued on Sep 3, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Woodstock, GA. The record was last updated on Jan 31, 2014.