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Courtney Paige Bradford, PA-C

Physician Assistant in Lumberton, NC. Individual provider (NPI-1).

NPI number1447724430
StatusActive
Last updated in NPPESJan 14, 2019

Details

NPI
1447724430
Entity type
Individual (NPI-1)
Name
Courtney Paige Bradford
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jan 14, 2019
Last updated
Jan 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant244357NCYes

Practice location

2936 N Elm St Ste 102
Lumberton, NC 28358-2981

Phone 910-671-6619 · Fax 910-608-0487

Mailing address

2600 N Elm St
Lumberton, NC 28358-3011

Phone 910-671-5367 · Fax 910-738-3764

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