Organization
CHARLESTON BRACE COMPANY, LLC
Active
Parent organization
CHARLESTON BRACE COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLESTON BRACE COMPANY, LLC
Authorized official
MR. NATHANIEL A JACKSON CO, BOCPO, CPED (CO)
(843) 871-0600
Entity
Organization
Contact information
Practice address
1220-B HOSPITAL DRIVE, MT PLEASANT, SC 29464-3678
(843) 849-1930
(843) 849-1932
Mailing address
1220 HOSPITAL DR # B, MT PLEASANT, SC 29464-3678
(843) 849-1930
(843) 849-1932
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
010116126
SC
Other
Enumeration date
06/18/2015
Last updated
08/31/2016
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