Individual
MR. SAMUEL BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 DOCTORS DR, DOTHAN, AL 36301-2949
(334) 794-6611
Mailing address
201 DOCTORS DR, DOTHAN, AL 36301-2949
(334) 794-6611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-131776
AL
Other
Enumeration date
06/19/2014
Last updated
06/30/2014
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