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Individual

BRADEN GREER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
311 LAFAYETTE ST, SENATOBIA, MS 38668-1908
(662) 292-4218
Mailing address
311 LAFAYETTE ST, SENATOBIA, MS 38668-1908
(662) 292-4218

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
256866
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
27832
TN

Other

Enumeration date
05/23/2020
Last updated
06/21/2023
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