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1881921187
BRAXTON B WANNAMAKER
CHARLESTON, SC
NPI
1881921187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: SC 5240)
Enumeration Date
2009-11-06
Last Update Date
2009-11-06
Business Address
-- BRAXTON B WANNAMAKER MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0100
Phone number: 843-792-1414
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Mailing Address
-- BRAXTON B WANNAMAKER MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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