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Contact Information

ELOISE D BRADHAM, MD
3109 ION AVE
SULLIVAN'S ISLAND, SC29482-8606
 Phone: 843-870-7518
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ELOISE D BRADHAM · (Female)

NPI # 1194767905
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2006
Last updated 09/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 13644
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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