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Individual

BRADLEY MERRITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 MANNING DR, RM 1107G W WING, CHAPEL HILL, NC 27514
(919) 966-1072
Mailing address
101 MANNING DR, RM 1107G W WING, CHAPEL HILL, NC 27514
(919) 966-1072

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2007-00015
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
200700015
NC

Other

Enumeration date
05/03/2007
Last updated
12/05/2011
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