Individual
KRISTIE LEIGH BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4741 HIGHWAY 153 STE A, EASLEY, SC 29642-9161
(864) 661-5278
(864) 408-8369
Mailing address
4741 HIGHWAY 153 STE A, EASLEY, SC 29642-9161
(864) 661-5278
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL31778
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317785
—
SC
Enumeration date
06/10/2009
Last updated
07/29/2021
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