Provider Demographics
NPI:1265045199
Name:BRODIE, JULIA CLAIRE (PA-C)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:CLAIRE
Last Name:BRODIE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6019 WALNUT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2113
Mailing Address - Country:US
Mailing Address - Phone:601-914-9620
Mailing Address - Fax:601-914-9620
Practice Address - Street 1:6019 WALNUT GROVE RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2113
Practice Address - Country:US
Practice Address - Phone:601-914-9620
Practice Address - Fax:601-914-9620
Is Sole Proprietor?:No
Enumeration Date:2020-08-29
Last Update Date:2023-11-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant