Individual
EDWARD A. BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY STE 230, MATTHEWS, NC 28105
(704) 495-6020
Mailing address
5950 FAIRVIEW RD STE 330, CHARLOTTE, NC 28210-2108
(704) 495-6334
(704) 817-7219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24227
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730103235
—
NC
05
—
8917415
—
NC
05
—
N24227
—
SC
Enumeration date
07/27/2006
Last updated
10/05/2018
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