Bradley, Catherine
Bradley, Catherine is an sole proprietor health care provider with primary practice located at 4750 Waters Ave Suite 500, Savannah GA 31404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bradley, Catherine can be contacted via phone (912) 350-5961.Contact Information
Primary practice address
4750 Waters Ave Suite 500
Savannah GA 31404
Phone: (912) 350-5961
Fax: (912) 350-5942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN093726 | Georgia |
Profile Details
| NPI number | 1225074883 |
|---|---|
| LBN Legal business name | Bradley, Catherine |
| Credentials | MSN RN CS FNP DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Sep 13th, 2022 - about 2 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 | 1225074883 | NPPES |
| South Carolina | MEDICAID | NP0215 | |
| South Carolina | MEDICAID | 000807815U | |
| South Carolina | MEDICAID | 000807815V | |
| South Carolina | MEDICAID | 000807815D |
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