Individual
GREGORY BRACEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MOORESVILLE RD, KANNAPOLIS, NC 28081-0304
(704) 920-1000
(704) 934-4270
Mailing address
300 MOORESVILLE RD, KANNAPOLIS, NC 28081-0304
(704) 920-1000
(704) 934-4270
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31249
NC
207V00000X
Obstetrics & Gynecology Physician
40295
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8917409
—
NC
01
—
NC4822E
MEDICARE
NC
Enumeration date
05/11/2006
Last updated
04/11/2022
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