Individual
BRADLEY A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
738 BRYANT ST STE A, STATESVILLE, NC 28677-4189
(704) 873-1189
(704) 873-1116
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-7251
(833) 963-1364
(605) 942-7505
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2020-02632
NC
207RC0000X
Cardiovascular Disease Physician
35-120130
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2010
Last updated
02/23/2021
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