Provider Demographics
NPI:1831480920
Name:BRADSHAW, CHRISTINE CATHRYN (DO, MPH, MBA)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:CATHRYN
Last Name:BRADSHAW
Suffix:
Gender:F
Credentials:DO, MPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 BRIARCLIFF CMNS NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2173
Mailing Address - Country:US
Mailing Address - Phone:678-327-6938
Mailing Address - Fax:
Practice Address - Street 1:2370 BRIARCLIFF CMNS NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2173
Practice Address - Country:US
Practice Address - Phone:678-327-6938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA496382083P0901X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine