Braughton, Ronald Dale

Braughton, Ronald Dale is an individual health care provider with primary practice located at 809 82Nd Pkwy , Myrtle Beach SC 29572-4607. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Braughton, Ronald Dale can be contacted via phone (843) 497-5929.

Contact Information

Primary practice address
809 82Nd Pkwy Myrtle Beach SC 29572-4607
Phone: (843) 497-5929
Fax: (843) 839-4448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110172 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 02489 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA060617 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1636 South Carolina

Profile Details

NPI number 1275843906
LBN Legal business name Braughton, Ronald Dale
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2010
Last updated Dec 23rd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275843906 NPPES
Texas MEDICAID 219934102
Texas MEDICAID 219934101

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