Organization
BOMAC INC
Active
Other names
Momentum Medical Brace & Limb
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY JACKSON WILLIAMS (OFFICE MANAGER)
(843) 423-2337
Entity
Organization
Contact information
Practice address
BOMAC INC, 2876 E HWY 76, MULLINS, SC 29574-6036
(843) 423-2337
(843) 423-2338
Mailing address
2876 EAST HWY 76, MULLINS, SC 29574
(843) 423-2337
(843) 423-2338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1858
—
SC
Enumeration date
12/06/2006
Last updated
08/22/2020
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