Provider Demographics
NPI:1669238309
Name:HILL, BRAYDEN DUNN (BS)
Entity type:Individual
Prefix:
First Name:BRAYDEN
Middle Name:DUNN
Last Name:HILL
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 DOGWOOD PT
Mailing Address - Street 2:
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-7406
Mailing Address - Country:US
Mailing Address - Phone:706-816-5828
Mailing Address - Fax:
Practice Address - Street 1:106 DOGWOOD PT
Practice Address - Street 2:
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024-7406
Practice Address - Country:US
Practice Address - Phone:706-816-5828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program