Organization
MID-ATLANTIC BRACING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL RAY (VICE PRESIDENT)
(866) 852-8774
Entity
Organization
Contact information
Practice address
4445 CORPORATION LN, VIRGINIA BEACH, VA 23462-3262
(866) 852-8774
(888) 536-8989
Mailing address
65 GLEN RD, GARNER, NC 27529-7943
(866) 852-8774
(888) 536-8989
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CFO02178
VA
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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