Brazell Julian, Mattie Kristen

Brazell Julian, Mattie Kristen is an individual health care provider with primary practice located at 300 Palmetto Health Pkwy Ste 300 , Columbia SC 29212-1763. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Brazell Julian, Mattie Kristen can be contacted via phone (803) 907-7300.

Contact Information

Primary practice address
300 Palmetto Health Pkwy Ste 300 Columbia SC 29212-1763
Phone: (803) 907-7300
Fax: (803) 907-7309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 19368 South Carolina

Profile Details

NPI number 1417323213
LBN Legal business name Brazell Julian, Mattie Kristen
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2015
Last updated Feb 26th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417323213 NPPES
South Carolina MEDICAID NP3400

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