Individual
BRADY C WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 PENNY LN, MOREHEAD CITY, NC 28557-4305
(252) 247-4769
(252) 247-0948
Mailing address
3325 PIEDMONT RD NE, BLDG 7-601, ATLANTA, GA 30305-1889
(404) 842-5600
(404) 848-8611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20985
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020017133
RAILROAD MEDICARE NUMBER
—
01
—
86054
NC BCBS NUMBER
NC
05
—
8986054
—
NC
Enumeration date
06/13/2006
Last updated
03/16/2010
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