Individual
COURTNEY PAIGE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2936 N ELM ST STE 102, LUMBERTON, NC 28358-2981
(910) 671-6619
(910) 608-0487
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 671-5367
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
244357
NC
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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