Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Trace Brantley, PHARMD

Individual provider Pharmacist · NPI 1720866015

Dr. Trace Brantley, PHARMD is a Pharmacist in Camilla, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

165 US-19
Camilla, GA 31730
Phone: (229) 336-0922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH034482 (GA)

Record details

NPI number1720866015
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 16, 2023
Mailing address165 Us-19, Camilla, GA 31730

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