Individual
DR. ANDREW BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
120 REYNOLDA VLG STE B, WINSTON SALEM, NC 27106-5144
(336) 701-6460
(336) 701-6465
Mailing address
120 REYNOLDA VLG STE B, WINSTON SALEM, NC 27106-5144
(336) 701-6460
(336) 701-6465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3187
TN
Other
Enumeration date
08/04/2014
Last updated
08/13/2018
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