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Individual

DR. WILLIAM S BRADFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
617 S MAIN ST, REIDSVILLE, NC 27320-5019
(336) 349-4024
(336) 349-6904
Mailing address
PO BOX 150, REIDSVILLE, NC 27323-0150
(336) 349-4024
(336) 349-6904

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29079
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203579A
INDIVIDUAL NPI MEDICARE IDENTIFIER
NC
05
7917408
NC
Enumeration date
06/14/2006
Last updated
02/19/2014
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