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Individual

STACI ANNE BRAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
127 N TRYON ST, UNIT 412, CHARLOTTE, NC 28202
(980) 288-6210
Mailing address
127 N TRYON ST, UNIT 412, CHARLOTTE, NC 28202
(980) 288-6210

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125740
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140YU
BLUE CROSS
NC
05
5903129
NC
Enumeration date
10/27/2006
Last updated
10/20/2025
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