Individual
GEORGE BRADEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
130 FOREST GLEN RD, STE B, COLUMBUS, NC 28722-3456
(828) 894-5627
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104192
NC
Other
Enumeration date
05/12/2006
Last updated
06/12/2020
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