Individual
DIANA FAISON BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
136 CHARLOTTE HWY, ASHEVILLE, NC 28803-9673
(828) 296-0880
(828) 296-0855
Mailing address
19 NIL GIRI DR, ASHEVILLE, NC 28803-9406
(828) 298-3479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9601192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891134H
—
NC
Enumeration date
09/22/2006
Last updated
11/29/2007
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