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Individual

HEATHER C BRAITHWAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(843) 497-5929
(843) 839-4448
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
(843) 399-0123

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200400015
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89137G6
NC
05
Q15004
SC
Enumeration date
04/12/2006
Last updated
01/20/2017
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