Treadwell, Bobby Joel

Treadwell, Bobby Joel is an individual health care provider with primary practice located at 4550 Cobb Parkway North Nw Suite 309B, Acworth GA 30101-4180. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Treadwell, Bobby Joel can be contacted via phone (770) 917-6795.

Contact Information

Primary practice address
4550 Cobb Parkway North Nw Suite 309B Acworth GA 30101-4180
Phone: (770) 917-6795
Fax: (770) 529-9077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5730 Georgia

Profile Details

NPI number 1033483458
LBN Legal business name Treadwell, Bobby Joel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2012
Last updated Oct 6th, 2015 - about 10 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 1033483458 NPPES
North Carolina MEDICAID 8101943

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