Individual
MATTIE KRISTEN BRAZELL JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
300 PALMETTO HEALTH PKWY STE 300, COLUMBIA, SC 29212-1763
(803) 907-7300
(803) 907-7309
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
19368
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3400
—
SC
Enumeration date
08/15/2015
Last updated
12/21/2024
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