Individual
TIMOTHY DONALD BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2821 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4137
(336) 718-3960
(336) 718-3998
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2020-02266
NC
Other
Enumeration date
04/03/2017
Last updated
12/21/2022
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