Individual
JAMES BRADLEY DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9200 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9121
(843) 863-7681
Mailing address
9200 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9121
(843) 863-7681
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
352
SC
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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