Bragg, Kristie Leigh
Bragg, Kristie Leigh is an sole proprietor health care provider with primary practice located at 4741 Highway 153 Ste A , Easley SC 29642-9161. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bragg, Kristie Leigh can be contacted via phone (864) 661-5278.Contact Information
Primary practice address
4741 Highway 153 Ste A
Easley SC 29642-9161
Phone: (864) 661-5278
Fax: (864) 408-8369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | LL31778 | South Carolina |
Profile Details
| NPI number | 1164658795 |
|---|---|
| LBN Legal business name | Bragg, Kristie Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2009 |
| Last updated | Jul 29th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164658795 | NPPES |
| South Carolina | MEDICAID | 317785 |
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