Individual
DR. JOHN ANTHONY BRODSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1391 E GARRISON BLVD STE C, GASTONIA, NC 28054-5179
(704) 678-7405
Mailing address
1391 E GARRISON BLVD STE C, GASTONIA, NC 28054-5179
(704) 678-7405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26499
NC
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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