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Individual
BRAYTON ROBERT SHIRLEY
Active
Individual
BRAYTON ROBERT SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22064
SC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
22064
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220647
—
SC
01
—
576007863158
BCBS OF SC
SC
01
—
P00699132
RR MEDICARE
SC
Enumeration date
04/13/2006
Last updated
05/12/2021
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