Individual
MR. JOEL BURTON BRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5661
(704) 210-5660
Mailing address
2233 CHARLES TOWNE CT, KANNAPOLIS, NC 28083-3106
(704) 938-7408
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
57804
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430059167
RR MEDICARE
NC
05
—
8051364
—
NC
Enumeration date
07/16/2006
Last updated
07/08/2007
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