Individual
MR. STEPHEN COLSON BRANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2001 VAIL AVE, SUITE A, CHARLOTTE, NC 28207-1219
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
102360
NC
363AS0400X
Surgical Physician Assistant
480
SC
Other
Enumeration date
11/23/2005
Last updated
06/01/2017
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