Dr. Blair Stephen Bradley, D.C.
Chiropractor in Aiken, SC. Individual provider (NPI-1).
NPI number1265735427
StatusActive
Last updated in NPPESOct 23, 2012
Details
- NPI
- 1265735427
- Entity type
- Individual (NPI-1)
- Name
- Dr. Blair Stephen Bradley
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2010
- Last updated
- Oct 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3610 | SC | Yes |
Practice location
151 Waterloo St SwAiken, SC 29801-3756
Phone 803-649-7004 · Fax 803-649-7411
Mailing address
Po Box 3486Aiken, SC 29802-3486
Phone 803-649-7004
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