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1194456335
SAMUEL WESLEY BRADLEY
CHARLESTON, SC
NPI
1194456335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: SC LL87697)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
SAMUEL WESLEY BRADLEY
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8900
Phone number: 843-792-1414
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Mailing Address
SAMUEL WESLEY BRADLEY
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number:
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