Individual
BRADLEY JON NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
141 DORMAN CENTRE DR, SPARTANBURG, SC 29301-2625
(828) 574-9609
Mailing address
PO BOX 164, TRYON, NC 28782-0164
(828) 899-0880
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NC
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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