Individual
MR. JIMMY L BRAMLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 GAMBLE DR, LINCOLNTON, NC 28092-4421
(704) 735-3071
(704) 735-0584
Mailing address
PO BOX 677, LINCOLNTON, NC 28093-0677
(704) 735-3071
(704) 735-0584
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
046868
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000175
—
NC
Enumeration date
06/21/2006
Last updated
07/09/2007
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