Provider Demographics
NPI:1497744387
Name:BRASINGTON, CAMPBELL KNUTSON (MS, CGC)
Entity Type:Individual
Prefix:
First Name:CAMPBELL
Middle Name:KNUTSON
Last Name:BRASINGTON
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:CAMPBELL
Other - Last Name:KNUTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:1000 BLYTHE BLVD
Mailing Address - Street 2:CAROLINAS MEDICAL CENTER, CLINICAL GENETICS
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5812
Mailing Address - Country:US
Mailing Address - Phone:704-381-6810
Mailing Address - Fax:704-381-6811
Practice Address - Street 1:1000 BLYTHE BLVD
Practice Address - Street 2:CAROLINAS MEDICAL CENTER, CLINICAL GENETICS
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5812
Practice Address - Country:US
Practice Address - Phone:704-381-6810
Practice Address - Fax:704-381-6811
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS