Provider Demographics
NPI:1508060476
Name:BRAXTON, JUNIUS MURPHY (LMBT)
Entity Type:Individual
Prefix:MR
First Name:JUNIUS
Middle Name:MURPHY
Last Name:BRAXTON
Suffix:
Gender:M
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 W FRIENDLY AVE
Mailing Address - Street 2:STE 102-I
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4368
Mailing Address - Country:US
Mailing Address - Phone:336-855-8817
Mailing Address - Fax:
Practice Address - Street 1:5500 W FRIENDLY AVE
Practice Address - Street 2:STE 102-I
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4368
Practice Address - Country:US
Practice Address - Phone:336-855-8817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLMBT.4283175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath