Individual
MR. GERALD ALFRED BRACETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-6418
Mailing address
220 OCTOBER GLORY DR, BLYTHEWOOD, SC 29016-7638
(787) 557-8952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21862
SC
Other
Enumeration date
05/30/2018
Last updated
02/12/2025
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