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Contact Information

STEPHEN C BRANUM, PA-C
2001 VAIL AVE
SUITE A
CHARLOTTE, NC28207-1219
 Phone: 704-323-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEPHEN C BRANUM · (Male)

NPI Number 1518940584
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/23/2005
Last updated 06/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 102360
  • SC License # 480
Hospital affiliation(s)
  • GASTON MEMORIAL HOSPITAL - (Acute Care)
    2525 COURT DR
    GASTONIA, NC 28052
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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