Organization
BRACE DEPOT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL C THOMAS (COO)
(844) 322-8786
Entity
Organization
Contact information
Practice address
5184 CALDWELL MILL RD STE 204 275, HOOVER, AL 35244
(844) 322-8786
Mailing address
5184 CALDWELL MILL RD STE 204 275, HOOVER, AL 35244
(844) 322-8786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65325212
TJM
AL
Enumeration date
07/01/2015
Last updated
07/01/2015
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