Davidson, Bradley Scott

Davidson, Bradley Scott is an sole proprietor health care provider with primary practice located at 980 Johnson Ferry Rd Ste 940, Atlanta GA 30342-1626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davidson, Bradley Scott can be contacted via phone (404) 851-6000.

Contact Information

Primary practice address
980 Johnson Ferry Rd Ste 940 Atlanta GA 30342-1626
Phone: (404) 851-6000
Fax: (404) 252-2736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 053692 Georgia

Profile Details

NPI number 1184611808
LBN Legal business name Davidson, Bradley Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Dec 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184611808 NPPES
Georgia MEDICAID 505865611A
Georgia MEDICAID 505865611C

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