Individual
MR. ROBERT BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LMBT
Contact information
Practice address
3405 LEWISTON RD STE E, GREENSBORO, NC 27410-9827
(910) 813-6425
Mailing address
4425 BAYLOR ST STE E, GREENSBORO, NC 27455-2565
(910) 813-6425
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1016
NC
Other
Enumeration date
04/21/2019
Last updated
04/21/2019
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