Individual
BRADLEY I MANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3629 SUZANNE DR, LITTLE RIVER, SC 29566-9318
(843) 957-0943
Mailing address
3629 SUZANNE DR, LITTLE RIVER, SC 29566-9318
(843) 957-0943
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
3020
SC
Other
Enumeration date
06/14/2005
Last updated
09/19/2019
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