MEDICARE: DR. GENEVIEVE NOEL BRAUNING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	200501204	NC

General Provider Information

NPI Number	:	1467644021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GENEVIEVE NOEL BRAUNING M.D.

Provider Business Mailing Address
First Line	:	5821 FAIRVIEW RD STE 106
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3649
Country	:	US
Telephone Number	:	704-826-3550
Fax Number	:	704-538-4135

Provider Business Practice Location Address
First Line	:	5821 FAIRVIEW RD STE 106
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3649
Country	:	US
Telephone Number	:	704-826-3550
Fax Number	:	704-538-4135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	02/23/2022

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