Individual
DR. TEMIKO GRAVES BRASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1133 MACON RD, PERRY, GA 31069-2651
(478) 988-3200
(478) 988-3306
Mailing address
1133 MACON RD, PERRY, GA 31069-2651
(478) 988-3200
(478) 988-3306
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011938
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00954687-B
—
GA
01
—
100713
AVESIS
GA
01
—
1517848
UNITED CONCORDIA
GA
Enumeration date
01/31/2007
Last updated
07/31/2023
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