Bradshaw, Shenan Marie

Bradshaw, Shenan Marie is an sole proprietor health care provider with primary practice located at 5505 Peachtree Dunwoody Rd Ste 660 , Sandy Springs GA 30342. She recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as her primary health care specialty. Bradshaw, Shenan Marie can be contacted via phone (404) 220-7505.

Contact Information

Primary practice address
5505 Peachtree Dunwoody Rd Ste 660 Sandy Springs GA 30342
Phone: (404) 220-7505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DN015715 Georgia

Profile Details

NPI number 1699040121
LBN Legal business name Bradshaw, Shenan Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2012
Last updated Jul 19th, 2019 - 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 1699040121 NPPES
Georgia Other 80170 MEDICAL LICENSE

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