Individual provider · Type 1 NPI
Edward Demond Bracey
Driver · Blythewood, SC
NPI number
1801634464
Active
Practice location
9923 Wilson Blvd
Blythewood, SC 29016-9022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 0073603575 (SC) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Blythewood
About NPI 1801634464
Edward Demond Bracey's National Provider Identifier is 1801634464, issued on Jul 17, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Blythewood, SC. The record was last updated on Jul 17, 2024.