Individual
BRIANA PROMUTICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28359
(910) 735-8783
Mailing address
300 W. 27TH ST, LUMBERTON, NC 28359
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021-01010
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2017
Last updated
07/13/2021
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