Individual
JULIE THIBODEAUX RADLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 GRAY DR, GREENSBORO, NC 27412-5008
(336) 334-5340
Mailing address
107 GRAY DR, GREENSBORO, NC 27412-5008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201001851
NC
207Q00000X
Family Medicine Physician
MD157636
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22959
—
OR
05
—
500646277
—
OR
Enumeration date
05/12/2009
Last updated
02/14/2022
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