Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | LMBT.4283 | NC |
NPI | 1508060476 |
---|---|
Provider Name | Mr. Junius Murphy Braxton |
First Address | Greensboro, NC 27410-4368 |
Second Address | Greensboro, NC 27410-4368 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 08/07/2007 |