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Individual

BRADLEY STEVEN HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
823 S CHURCH ST STE A, GREENVILLE, SC 29601-4709
(864) 373-0994
Mailing address
223 LAKEFRONT RD, TOWNVILLE, SC 29689-2504
(864) 420-3493

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
012883
SC
208D00000X
General Practice Physician
0101240092
VA
208D00000X
General Practice Physician
Primary
012883
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128837
SC
01
P00211206
RAILROAD MEDICARE
SC
Enumeration date
06/26/2006
Last updated
06/15/2023
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