Individual
BRADLEY MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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