Organization
ONE STOP BRACING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J EBHOHIMEN (AUTHORIZED OFFICAL)
(470) 491-2668
Entity
Organization
Contact information
Practice address
3432 HIGHWAY 155, LOCUST GROVE, GA 30248-3741
(470) 491-2668
(789) 497-3631
Mailing address
3432 HIGHWAY 155, LOCUST GROVE, GA 30248-3741
(470) 491-2668
(789) 497-3631
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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