Individual
DR. JOSEPH LAWRENCE BRADY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4010
(704) 384-4647
Mailing address
320 W 9TH ST, CHARLOTTE, NC 28202-1708
(704) 342-3430
(704) 373-1192
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
28822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8917684
—
NC
05
—
N28822
—
SC
Enumeration date
04/11/2006
Last updated
07/09/2007
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