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NPI Code Detail

MEDICARE: MICHELLE ELIZABETH BRAYTON MD

MEDICARE: MICHELLE ELIZABETH BRAYTON MD
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
1207L00000XAnesthesiology Physician200301334NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669429122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ELIZABETH BRAYTON MD
Provider Business Mailing Address
First Line : 3506 LAKEVIEW TRL
Second Line :
City : KINSTON
State : NC
Zip : 28504-8183
Country : US
Telephone Number : 252-522-4552
Fax Number :
Provider Business Practice Location Address
First Line : 475 PROGRESS BLVD
Second Line :
City : SILER CITY
State : NC
Zip : 27344-6787
Country : US
Telephone Number : 919-966-7890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 01/19/2023

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Directions to “ MICHELLE ELIZABETH BRAYTON MD” Practice Location

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