Individual
DR. WILLIAM TATE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 873-9533
(844) 454-0171
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2011-01585
NC
207L00000X
Anesthesiology Physician
34395
SC
390200000X
Student in an Organized Health Care Education/Training Program
149034
NC
Other
Enumeration date
06/17/2008
Last updated
03/27/2018
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