Individual
CHAD SLOAN BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 SE MAIN ST, SIMPSONVILLE, SC 29681-7150
(864) 399-9070
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4891
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
686
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2016
Last updated
07/11/2019
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