Colleen Bradley
NPI #1255995411 in Surfside Beach, South Carolina
Provider Information
- NPI Number
- 1255995411
- Entity Type
- Individual
- Name
- Colleen Bradley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Apr 23, 2019
- Last Updated
- Feb 6, 2023
Practice Location
- Address
- 2734 BEAVER RUN BLVD UNIT D
- City
- Surfside Beach
- State
- South Carolina
- ZIP Code
- 29575-5392
- Phone
- (469) 353-4042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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