ROBERTA THERESA BRACKEN

CHARLESTON, SC
NPI1538358700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: SC  07754)
Enumeration Date2007-10-23
Last Update Date2007-10-23
Business Address
Dr. ROBERTA THERESA BRACKEN M.D.
4 JOHNSON RD
CHARLESTON, SC 29407-7515
Phone number: 843-556-1858
Mailing Address
Dr. ROBERTA THERESA BRACKEN M.D.
PO BOX 31175
CHARLESTON, SC 29417-1175
Phone number: 843-556-1858