Organization
FLOYD BRACE COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE A JOHNSON CO (OWNER/PRESIDENT)
(843) 824-0625
Entity
Organization
Contact information
Practice address
9231 MEDICAL PLAZA DR, SUITE F, NORTH CHARLESTON, SC 29406-9101
(843) 824-0625
(843) 824-0127
Mailing address
9213 UNIVERSITY BLVD STE D, NORTH CHARLESTON, SC 29406-9145
(843) 614-6400
(843) 873-7387
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME779
—
SC
Enumeration date
09/30/2005
Last updated
06/06/2022
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