Individual
BRIAN CONRAD BRIMMAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRL STE 405, RALEIGH, NC 27607
(919) 876-8225
Mailing address
4414 LAKE BOONE TRL STE 405, RALEIGH, NC 27607-7520
(919) 876-8225
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2017-00703
NC
390200000X
Student in an Organized Health Care Education/Training Program
191913
NC
Other
Enumeration date
06/05/2013
Last updated
06/20/2018
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