Individual
MR. BRADLEY NATHANIEL BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 878-6000
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3182
(336) 716-9916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12947
NC
363A00000X
Physician Assistant
C0008074
MD
Other
Enumeration date
06/24/2020
Last updated
03/02/2023
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