Provider Demographics
NPI:1164960381
Name:BRANAM, SONJA NICOLE (DVM)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:NICOLE
Last Name:BRANAM
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6393 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2569
Mailing Address - Country:US
Mailing Address - Phone:423-822-8304
Mailing Address - Fax:423-709-8227
Practice Address - Street 1:6393 LEE HWY
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2569
Practice Address - Country:US
Practice Address - Phone:423-822-8304
Practice Address - Fax:423-709-8227
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5979OtherLICENSE NUMBER