Individual
MARRI KAJFEZ BRACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
205 PAGE RD, PINEHURST, NC 28374-8749
(910) 295-5511
(910) 420-1606
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8749
(910) 295-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201500906
NC
207Q00000X
Family Medicine Physician
BP10039969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
557995
PHYSICIAN IN TRAINING
TX
Enumeration date
05/06/2011
Last updated
01/24/2018
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