Individual
BRADY TIMOTHY BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
156 CROSS ROAD DR, MILLS RIVER, NC 28759-5508
(828) 891-0060
(828) 891-1425
Mailing address
156 CROSS ROAD DR, MILLS RIVER, NC 28759-5508
(828) 891-0060
(828) 891-1425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03689
NC
Other
Enumeration date
01/27/2011
Last updated
12/16/2024
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