Individual
DR. GEORGE LEE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 S DEKALB ST, SHELBY, NC 28150-6184
(704) 480-1882
(704) 480-1832
Mailing address
615 S DEKALB ST, SHELBY, NC 28150-6184
(704) 480-1882
(704) 480-1832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25481
NC
2084P0800X
Psychiatry Physician
Primary
25481
NC
208D00000X
General Practice Physician
25481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8917497
—
NC
Enumeration date
01/04/2006
Last updated
02/28/2019
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