Charleston Brace Company, LLC
NPI #1063617629 in Walterboro, South Carolina
Provider Information
- NPI Number
- 1063617629
- Entity Type
- Organization
- Organization Name
- Charleston Brace Company, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHARLESTON BRACE COMPANY, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 15, 2007
- Last Updated
- Jul 15, 2024
Practice Location
- Address
- 111 MAGNOLIA ST
- City
- Walterboro
- State
- South Carolina
- ZIP Code
- 29488-2911
- Phone
- (843) 542-9000
Authorized Official
- Name
- MR. NATHANIEL JACKSON, CO, CPED
- Title
- OWNER
- Phone
- (843) 542-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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