Individual
JOHN PAUL BRAMBLETT JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
311 4E JUDGES ROAD, WILMINGTON, NC 28405
(910) 791-6767
(910) 791-6890
Mailing address
PO BOX 696, HAMPSTEAD, NC 28443
(910) 791-6767
(910) 791-6890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2291
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045MA
BCBS
NC
05
—
6000191
—
NC
Enumeration date
01/04/2006
Last updated
07/08/2007
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