Individual
MILLER JOSEPH PIERCE BRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 WILSON DR, HARTSVILLE, SC 29550-5342
(843) 858-8255
Mailing address
504 WILSON DR, HARTSVILLE, SC 29550-5342
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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