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Individual

MATTHEW A BRAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1850 OLD KNOXVILLE RD, TAZEWELL, TN 37879-3625
(865) 985-7234
(865) 985-7077
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 985-7234
(865) 985-7077

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN12262
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2005009300
ANCC
Enumeration date
05/05/2009
Last updated
05/05/2009
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