MARY BRAXTON PATRICK

ORANGEBURG, SC
NPI1518636513
Former NameMARY ELIZABETH BRAXTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  4141)
Enumeration Date2021-09-13
Last Update Date2023-09-29
Business Address
MARY BRAXTON PATRICK PA
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118-1442
Phone number: 803-533-2321
Mailing Address
MARY BRAXTON PATRICK PA
PO BOX 23321
NEW YORK, NY 10087-3321
Phone number: 843-792-6200