# DR. ELOISE DANIEL BRADHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194767905
- **Gender:** F
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 13644 | SC | — |
| 207L00000X | Anesthesiology Physician | 13644 | SC | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 09/16/2015