Individual
DR. VANCE WELLS BRABHAM IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2704 HENRY ST, GREENSBORO, NC 27405-3633
(336) 621-3777
(336) 621-8374
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2008-00361
NC
2086S0129X
Vascular Surgery Physician
Primary
2008-00361
NC
Other
Enumeration date
05/03/2007
Last updated
08/04/2021
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