Mr. Samuel Braswell
Mr. Samuel Braswell is a Nurse Practitioner in Dothan, Alabama. Qualified in 2014, 12 years ago. Practices with Southern Clinic PC, a 25-clinician group and accepts Medicare assignment. Licensed in Alabama.
- Years since qualifying
- 12
- Licensed in
- AL
- In the registry since
- 2014
Practice location Address checks out
201 Doctors DrDothan, AL 36301-2949
Phone: (334) 794-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 1-131776 (AL) |
|---|
Record details
| NPI number | 1609280494 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 19, 2014 |
| Last updated in NPPES | June 30, 2014 |
| Mailing address | 201 Doctors Dr, Dothan, AL 36301-2949 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Southern Clinic Pc — 25 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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