Organization
BRADEN FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE M BRADEN PA-C (OWNER/MEMBER)
(865) 247-6263
Entity
Organization
Contact information
Practice address
7701 CORRYTON RD, CORRYTON, TN 37721-2630
(865) 247-6263
(865) 247-6418
Mailing address
PO BOX 108, CORRYTON, TN 37721-0108
(865) 247-6263
(865) 247-6418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD48081
TN
363A00000X
Physician Assistant
Primary
PA1510
TN
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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