BRADLEY S INGRAM PA

MEDICAL PRACTICES OF ANTIETAM LLC

Dr BRADLEY S INGRAM PA is a male medical professional, specializing in Physician Assistant. He graduated in 2001.

Contact

MEDICAL PRACTICES OF ANTIETAM LLC

22911 JEFFERSON BLVD
SMITHSBURG
MD
217831617

Tel: 3018243343

BRADLEY S INGRAM PA Information

Npi 1144290321
Pac Id 0345286506
Professional Enrollment Id I20080602000617
Last Name INGRAM
First Name BRADLEY
Middle Name S
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MEDICAL PRACTICES OF ANTIETAM LLC
Group Practice Pac Id 2567353865
Number Of Group Practice Members 99
Line 1 Street Address 22911 JEFFERSON BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SMITHSBURG
State MD
Zip Code 217831617
Phone Number 3018243343
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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