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Individual
HEATHER C BRAITHWAITE
Active
Individual
HEATHER C BRAITHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200400015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137G6
—
NC
05
—
Q15004
—
SC
Enumeration date
04/12/2006
Last updated
01/20/2017
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