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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184611808 | NPPES |
| Georgia | MEDICAID | 505865611A | |
| Georgia | MEDICAID | 505865611C |
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Hoffman, Michael A.
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