Charleston Brace Co, Llc

NPI 1063617629 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1063617629
Enumeration Date 06/15/2007
Last Updated 07/20/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NATHANIEL NATHANIEL
Position OWNER
Phone (843) 542-9000
Fax (843) 542-2612
Practice Location
111 MAGNOLIA ST
WALTERBORO SC, 29488-2911, US
Phone (843) 542-9000
Fax (843) 542-2612
Business Location
3489 LADSON RD
SUITE C
LADSON SC, 29456-4330, US
Phone (843) 871-0600
Fax (843) 871-6510
Toxanomy
Taxonomy Code 335E00000X
License State South Carolina
License Number 015090713
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According to our database, Charleston Brace Co, Llc NPI is 1063617629, taxonomy code is 335E00000X and license number is 015090713, license state is located at South Carolina. Charleston Brace Co, Llc physically located at 111 Magnolia St, Walterboro SC, 29488-2911. NPI Number 1033115704 has the healthcare provider type.

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1063617629 NPI number is provided on an as is basis without warranty of any kind. 1063617629 is maintained by the National Plan & Provider Enumeration System. The contents of Charleston Brace Co, Llc are for informational purposes only.