Organization
BRADHAM CHIROPRACTIC CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L BRADHAM D.C. (PRESIDENT)
(910) 892-1119
Entity
Organization
Contact information
Practice address
407-K EAST JACKSON BLVD., ERWIN, NC 28339-9628
(910) 892-1119
Mailing address
PO BOX 506, ERWIN, NC 28339-0506
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902671
—
NC
Enumeration date
10/04/2006
Last updated
08/22/2020
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