Organization
BRACING MASCETOMY AND ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT ADDISON CPED (MANAGER)
(803) 629-7540
Entity
Organization
Contact information
Practice address
100 OLD CHEROKEE RD STE F, LEXINGTON, SC 29072-7959
(803) 629-7540
Mailing address
100 OLD CHEROKEE RD STE F, LEXINGTON, SC 29072-7959
(803) 629-7540
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/19/2012
Last updated
05/19/2012
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