Brazzel, David R
Brazzel, David R is an individual health care provider with primary practice located at 730 Stony Landing Rd Ste 100 , Moncks Corner SC 29461-2904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brazzel, David R can be contacted via phone (843) 761-6556.Contact Information
Primary practice address
730 Stony Landing Rd Ste 100
Moncks Corner SC 29461-2904
Phone: (843) 761-6556
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 85213 | South Carolina |
Profile Details
| NPI number | 1912973298 |
|---|---|
| LBN Legal business name | Brazzel, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Dec 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912973298 | NPPES |
| South Carolina | MEDICAID | 852134 |
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