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1710767025
BRADEN ROARK
CHARLESTON, SC
NPI
1710767025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: SC 5048)
Enumeration Date
2023-10-03
Last Update Date
2024-07-11
Business Address
BRADEN ROARK PA-C
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
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Mailing Address
BRADEN ROARK PA-C
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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