Edward Demond Bracey
Edward Demond Bracey is a Driver in Blythewood, South Carolina. Licensed in South Carolina. Registered with an NPI since 2024.
- Licensed in
- SC
- In the registry since
- 2024
Practice location Address checks out
9923 Wilson BlvdBlythewood, SC 29016-9022
Phone: (839) 810-8443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 0073603575 (SC) |
|---|
Record details
| NPI number | 1801634464 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 17, 2024 |
| Last updated in NPPES | July 17, 2024 |
| Certification date | July 17, 2024 |
| Mailing address | 9923 Wilson Blvd, Blythewood, SC 29016-9022 |
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