Individual
BRADLEY LAMAR ANGLEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD STE 200, CHARLOTTE, NC 28211-2897
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008-00360
NC
207P00000X
Emergency Medicine Physician
28703
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287031
—
SC
05
—
5910300
—
NC
Enumeration date
05/18/2006
Last updated
11/27/2018
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