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1538358700
ROBERTA THERESA BRACKEN
CHARLESTON, SC
NPI
1538358700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: SC 07754)
Enumeration Date
2007-10-23
Last Update Date
2007-10-23
Business Address
Dr. ROBERTA THERESA BRACKEN M.D.
4 JOHNSON RD
CHARLESTON, SC 29407-7515
Phone number: 843-556-1858
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Mailing Address
Dr. ROBERTA THERESA BRACKEN M.D.
PO BOX 31175
CHARLESTON, SC 29417-1175
Phone number: 843-556-1858
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