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
Phone: (704) 480-1882
Fax: (704) 480-1832
Website:
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033197645 | NPPES |
North Carolina | MEDICAID | 8917497 |
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