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1568994903
TIMOTHY DONALD BRADY
WINSTON SALEM, NC
NPI
1568994903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2020-02266)
Enumeration Date
2017-04-03
Last Update Date
2022-12-21
Business Address
TIMOTHY DONALD BRADY
2821 MAPLEWOOD AVE
WINSTON SALEM, NC 27103-4137
Phone number: 336-718-3960
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Mailing Address
TIMOTHY DONALD BRADY
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number:
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