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Contact Information

DAVID R BRASWELL
347 TATUM AVE
GRENADA, MS38901-4632
 Phone: 662-226-1681
 Fax: 662-226-1601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DAVID R BRASWELL · (Male)

NPI # 1154422590
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2006
Last updated 08/14/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 293396
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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