Individual
RONALD DALE BRAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 497-5929
(843) 839-4448
Mailing address
1001 S GEORGE ST, FL 2, YORK, PA 17403-3676
(717) 851-2465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1636
SC
363A00000X
Physician Assistant
PA9110172
FL
363AM0700X
Medical Physician Assistant
Primary
MA060617
PA
363AM0700X
Medical Physician Assistant
PA 02489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219934101
—
TX
05
—
219934102
—
TX
Enumeration date
10/15/2010
Last updated
12/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us