Charleston Brace Company, LLC
Prosthetic/Orthotic Supplier in Ladson, SC. Organization (NPI-2).
NPI number1720171929
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1720171929
- Entity type
- Organization (NPI-2)
- Legal business name
- Charleston Brace Company, LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2006
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | 010748453 | SC | Yes |
Practice location
9470a Highway 78Ladson, SC 29456-3909
Phone 843-871-0600 · Fax 843-871-6510
Mailing address
9470a Highway 78Ladson, SC 29456-3909
Phone 843-871-0600 · Fax 843-871-6510
Authorized official
Nathaniel Atha Jackson
Owner
8438710600
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