Mrs. Brae Dewalt
Mrs. Brae Dewalt is a Technician in Summerville, South Carolina. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
101 Pottery CirSummerville, SC 29483-8095
Phone: (843) 771-2934
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician (primary) | Taxonomy 374700000X |
|---|
Record details
| NPI number | 1609630961 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 7, 2024 |
| Last updated in NPPES | February 7, 2024 |
| Certification date | February 7, 2024 |