Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGIE S BRADLEY, PA-C
ActiveANGIE S BRADLEY, PA-C is a Surgical Physician Assistant healthcare provider located in WOODSTOCK, Georgia. NPI 1811322340 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WOODSTOCK, GA
Registration Details
- NPI Number
- 1811322340
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2013 (12.905866987584 yrs)
- Last Updated
- Jan 31, 2014
- License
-
006885 (GA)
Practice Information
- Address
-
1505 STONEBRIDGE PARKWAYSUITE 200WOODSTOCK, GA, 30189Browse GA providers · Browse ZIP 30189
- Phone
- 7709269112
- Fax
- 7709268240
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in WOODSTOCK, GA
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL WILEY MITCHELL | CST,CFA,CSA | 1063403541 |
| MR. TAUREK ERIK-SOUSSI | CSA | 1609166255 |
| MRS. MICHALE L KANGELOS | CSFA | 1265772248 |
| KATRYN MARIE PARILLO | CSA | 1073048286 |
| CHELIZ OJEDA | CSA | 1801366943 |
| MR. JARED MICHAEL HALEY | CSA | 1619438991 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.