Individual
CHRISTOPHER BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
249 WILLIAMSON RD, SUITE 101, MOORESVILLE, NC 28117-8195
(704) 360-4564
(704) 360-4553
Mailing address
249 WILLIAMSON RD, SUITE 101, MOORESVILLE, NC 28117-8195
(704) 360-4564
(704) 360-4553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001006280
NC
363AM0700X
Medical Physician Assistant
001006280
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-06280
NC LICENSE
NC
Enumeration date
02/22/2016
Last updated
03/26/2021
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