Individual
KAREN PAGE BRANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 GREEN GLADES, RIDGELAND, MS 39157-8662
(305) 815-1133
Mailing address
160 GREEN GLADES, RIDGELAND, MS 39157-8662
(305) 815-1133
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21915
MS
207L00000X
Anesthesiology Physician
MD.203567
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09200
—
LA
05
—
138266
—
AL
01
—
P01245539
RR MEDICARE
MS
Enumeration date
05/24/2007
Last updated
06/01/2015
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