Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 200100313 | NC |
Y | 208600000X | Surgeon | 200100313 | NC |
NPI | 1003823634 |
---|---|
Provider Name | William Alan Bradshaw |
First Address | Charlotte, NC 28260-2373 |
Second Address | Asheville, NC 28803-2493 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 27/01/2022 |