Individual
PHILLIP JACKSON BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 865-2246
(513) 865-5552
Mailing address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 865-2246
(513) 865-5552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BECXGR
NC
208M00000X
Hospitalist Physician
Primary
35.151412
OH
Other
Enumeration date
05/05/2021
Last updated
07/30/2024
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