Individual
DR. CHRISTOPHER COLE BRADBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4025 VILLAGE PARK DR, KNIGHTDALE, NC 27545-7044
(919) 261-0202
Mailing address
4025 VILLAGE PARK DR, KNIGHTDALE, NC 27545-7044
(919) 261-0202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038010845
IL
111N00000X
Chiropractor
Primary
3801
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038010845
STATE LICENSE#
IL
01
—
3801
NC LICENSE
NC
Enumeration date
12/31/2006
Last updated
09/24/2015
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