Braithwaite, Mary Fox
Braithwaite, Mary Fox is an individual health care provider with primary practice located at 205 Sage Rd Suite 100, Chapel Hill NC 27514-6995. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Braithwaite, Mary Fox can be contacted via phone (919) 942-4173.Contact Information
Primary practice address
205 Sage Rd Suite 100
Chapel Hill NC 27514-6995
Phone: (919) 942-4173
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2010-01167 | North Carolina |
Profile Details
| NPI number | 1174780548 |
|---|---|
| LBN Legal business name | Braithwaite, Mary Fox |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2008 |
| Last updated | Jun 14th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174780548 | NPPES |
| North Carolina | MEDICAID | 5914890 |
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