Bradley, George Lee

Bradley, George Lee is an individual health care provider with primary practice located at 615 S Dekalb St , Shelby NC 28150-6184. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bradley, George Lee can be contacted via phone (704) 480-1882.

Contact Information

Primary practice address
615 S Dekalb St Shelby NC 28150-6184
Fax: (704) 480-1832
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25481 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25481 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25481 North Carolina

Profile Details

NPI number 1033197645
LBN Legal business name Bradley, George Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Feb 28th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033197645 NPPES
North Carolina MEDICAID 8917497

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