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Individual

DR. TERRY LEE BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1324 E GARRISON BLVD, GASTONIA, NC 28054
(704) 861-1886
(704) 761-1578
Mailing address
1324 E GARRISON BLVD, GASTONIA, NC 28054
(704) 861-1886
(704) 761-1578

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1229
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7908278
NC
Enumeration date
11/08/2006
Last updated
03/13/2008
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