Organization
CHARLESTON BRACE COMPANY, LLC
Active
Organization
CHARLESTON BRACE COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL JACKSON CO, CPED (OWNER)
(843) 571-4646
Entity
Organization
Contact information
Practice address
2270 ASHLEY CROSSING DR STE 140, CHARLESTON, SC 29414-5749
(843) 871-0600
Mailing address
2270 ASHLEY CROSSING DR, SUITE 140, CHARLESTON, SC 29414-5732
(843) 571-4646
(843) 571-1611
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
010756087
SC
Other
Enumeration date
04/26/2007
Last updated
07/15/2024
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