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Individual

CALIN G BRAICU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4505 EXECUTIVE PARK DR, MONTGOMERY, AL 36116-1601
(334) 244-7737
Mailing address
2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL 36117-7790
(334) 270-9914
(334) 270-3195

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13128
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00080984
AL
01
51080984
BLUE CROSS
AL
Enumeration date
10/26/2006
Last updated
07/08/2007
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