Individual
BRADLEY RICE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, STE 300, CHARLOTTE, NC 28204-2963
(704) 355-1813
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2016-00162
NC
208C00000X
Colon & Rectal Surgery Physician
Primary
2016-00162
NC
Other
Enumeration date
03/08/2006
Last updated
09/25/2025
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