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Individual

CHAD KAMMER BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425
(843) 792-2300
Mailing address
1336 LEBANON ST, BLUEFIELD, WV 24701-4418
(304) 920-7771

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MDO.89954LL
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2018
Last updated
06/26/2023
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