Brantley, Trace

Brantley, Trace is an sole proprietor health care provider with primary practice located at 165 Us-19 , Camilla GA 31730. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brantley, Trace can be contacted via phone (229) 336-0922.

Contact Information

Primary practice address
165 Us-19 Camilla GA 31730
Phone: (229) 336-0922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH034482 Georgia

Profile Details

NPI number 1720866015
LBN Legal business name Brantley, Trace
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2023
Last updated Sep 18th, 2023 - about 2 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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