Individual
NATHAN F BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N FANT ST STE C, ANDERSON, SC 29621-5702
(864) 512-3954
(864) 260-3952
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-3954
(864) 260-3952
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22861
SC
208000000X
Pediatrics Physician
Primary
22861
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T67585
—
SC
Enumeration date
07/20/2006
Last updated
01/05/2023
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