Provider Demographics
NPI:1982669446
Name:BRANNING, PAMELA K (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:K
Last Name:BRANNING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 PEACHTREE RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3131
Mailing Address - Country:US
Mailing Address - Phone:828-277-9000
Mailing Address - Fax:828-277-0020
Practice Address - Street 1:76 PEACHTREE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3131
Practice Address - Country:US
Practice Address - Phone:828-277-9000
Practice Address - Fax:828-277-0020
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9601243174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCB61559Medicare UPIN