Individual
JACOB HURLAN BRAZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 DICK POND RD, MYRTLE BEACH, SC 29588-6807
(843) 652-8100
(843) 652-8122
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 652-8226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51275
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51275
SC MEDICAL BOARD
SC
Enumeration date
04/25/2014
Last updated
09/30/2025
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