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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912973298 NPPES
South Carolina MEDICAID 852134

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