Individual
DR. CAMILLE SWIHART BRASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16221 SAINT VINCENT WAY, LITTLE ROCK, AR 72223-9072
(501) 552-8150
(501) 552-8199
Mailing address
16221 SAINT VINCENT WAY, LITTLE ROCK, AR 72223-9072
(501) 552-8150
(501) 552-8199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-1810
AR
207QA0505X
Adult Medicine Physician
E1810
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135013001
—
AR
01
—
18442000000
QUALCHOICE
AR
Enumeration date
01/10/2007
Last updated
05/18/2020
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