Organization · NPI-2

Bracing Technologies LLC

Durable Medical Equipment & Medical Supplies, Customized Equipment · Hattiesburg, MS

NPI number1780777532
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1780777532
Entity type
Organization (NPI-2)
Legal business name
Bracing Technologies LLC
Organization subpart
No
Enumeration date
Oct 2, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––Yes

Practice location

1 Lincoln Pkwy
Ste 300
Hattiesburg, MS 39402-3262

Phone 601-579-4453 · Fax 601-264-2409

Mailing address

Po Box 17253
Hattiesburg, MS 39404-7253

Phone 601-579-4453 · Fax 601-264-2409

Authorized official

Barry L Monday
Administrator
6015794453

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