Mrs Shana Brooke Bradley, RN | |
1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 | |
(770) 702-1806 | |
Not Available |
Full Name | Mrs Shana Brooke Bradley |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548866114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN239256 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mak Anesthesia Holdings, Llc | 4284917204 | 167 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shana Brooke Bradley, RN 885 Mable Lake Rd, Cumming, GA 30041-8575 Ph: (770) 597-3247 | Mrs Shana Brooke Bradley, RN 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 Ph: (770) 702-1806 |
Geannette Elaine Williams, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 | |
Phallon Thomas, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 | |
Sarah Mitchum Keen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000 | |
Alyna Punjwani, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2188 Dresden Grn Nw, Kennesaw, GA 30144 Phone: 469-777-2122 | |
Christopher Laldin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 | |
Monika Mendel, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 | |
Paul Bahati, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 |