Bracing Mascetomy and Orthotics INC
NPI #1891055232 in Lexington, South Carolina
Provider Information
- NPI Number
- 1891055232
- Entity Type
- Organization
- Organization Name
- Bracing Mascetomy and Orthotics INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 19, 2012
- Last Updated
- May 19, 2012
Practice Location
- Address
- 100 OLD CHEROKEE RD STE F
- City
- Lexington
- State
- South Carolina
- ZIP Code
- 29072-7959
- Phone
- (803) 629-7540
Authorized Official
- Name
- HERBERT ADDISON, CPED
- Title
- MANAGER
- Phone
- (803) 629-7540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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