Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2015-02048 | NC |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 2015-02048 | NC |
NPI | 1861789554 |
---|---|
Provider Name | Sarah E Bradley |
First Address | Asheville, NC 28806-2343 |
Second Address | Washington, DC 20010-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2011 |
Last Update Date | 04/01/2022 |