Individual
MR. BARRY BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CN
Contact information
Practice address
3607 FALLS RIVER AVE STE 111, RALEIGH, NC 27614-7365
(919) 614-4022
Mailing address
1167 SMITH CREEK WAY, WAKE FOREST, NC 27587-7951
(919) 614-4022
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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