Organization
BRADLEY CHIROPRACTIC CLINIC PA
Active
Other names
The Bradley Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY L BRADLEY DC (PRESIDENT OF CORPORATION)
(704) 861-1886
Entity
Organization
Contact information
Practice address
1324 E GARRISON BLVD, GASTONIA, NC 28054
(704) 861-1886
(704) 861-1578
Mailing address
1324 E GARRISON BLVD, GASTONIA, NC 28054
(704) 861-1886
(704) 861-1578
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1229
NC
111N00000X
Chiropractor
1961
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7908278
—
NC
Enumeration date
08/12/2006
Last updated
11/26/2007
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