Individual
JENNIFER A BRAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2821 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4137
(336) 718-3960
(336) 718-3998
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-4820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-00029
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5908708
BLUECROSS BLUESHIELD
NC
05
—
5908708
—
NC
01
—
812600
BLUE MEDICARE
NC
Enumeration date
05/04/2007
Last updated
01/01/2010
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