Individual
CHARLES LEON BRANCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
690 BURTON RD, ADVANCE, NC 27006-7506
(336) 978-8878
Mailing address
690 BURTON RD, ADVANCE, NC 27006-7506
(336) 978-8878
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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