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MILLARD BRADY THOMAS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
132 W MILLER ST, SUITE C, ASHEBORO, NC 27203-4774
(336) 626-3202
(336) 521-4923
Mailing address
PO BOX 5418, ASHEBORO, NC 27204-5418
(336) 625-2333
(336) 625-5511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34480
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101810
UNITED HEALTH CARE
NC
01
030462070
HEALTH CARE SAVINGS
NC
01
1368
CIGNA
NC
01
1729735
FIRST HEALTH
NC
01
53695
MEDCOST
NC
01
82788
BLUE CROSS BLUE SHIELD
NC
05
8982788
NC
Enumeration date
06/16/2005
Last updated
05/03/2017
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