Individual
JOAN L BRAUCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1144 PROFESSIONAL DR, WILLIAMSBURG, VA 23185-3330
(757) 259-0443
(757) 259-0450
Mailing address
PO BOX 2086, SKYLAND, NC 28776-2086
(828) 277-1300
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101055718
VA
Other
Enumeration date
06/12/2006
Last updated
10/31/2011
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