Organization
GB OCULAR PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA BRAKEFIELD (MEMBER)
(205) 422-5952
Entity
Organization
Contact information
Practice address
355 WOODRUFF RD STE 405, GREENVILLE, SC 29607-3481
(864) 278-1881
(864) 305-4369
Mailing address
355 WOODRUFF RD STE 405, GREENVILLE, SC 29607-3481
(864) 278-1881
(864) 305-4369
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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