Individual
DR. ELOISE DANIEL BRADHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3109 ION AVE, SULLIVANS ISLAND, SC 29482-8606
(843) 870-7518
Mailing address
PO BOX 126, SULLIVANS ISLAND, SC 29482-0126
(843) 870-7518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
13644
SC
207L00000X
Anesthesiology Physician
Primary
13644
SC
Other
Enumeration date
06/13/2006
Last updated
09/16/2015
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