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Individual

CHARLES LEON BRANCH JR.

Active
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Individual

CHARLES LEON BRANCH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
27027
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140007841
RR MEDICARE
01
17801
BCBS
05
1840964000
WV
01
21297
MEDCOST
01
2801
PARTNERS
01
4607330
AETNA
05
6134700
VA
05
8917801
NC
05
Q27027
SC
Enumeration date
01/19/2006
Last updated
12/07/2024
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