| Doctor Name: | MRS. VIRGINIA R BRADSHAW |
| NPI Number: | 1326120007 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN069020 |
| Business Practice Address: | 307 Greenway St Thomson, GA - 308242721 |
| Business Phone Number: | 7065951740 |
| Business Fax Number: | 7065958503 |
| Mailing Address: | Po Box 266, THOMSON |
| State: | GA |
| Postal Code: | 308240266 |
| Phone Number: | 7065951740 |
| Fax Number: | 7065958503 |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN069020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |