Organization
MYRTLE BEACH BRACE & LIMB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L. BARFIELD (PRESIDENT, CLINICAL DIRECTOR)
(843) 444-0405
Entity
Organization
Contact information
Practice address
1508 HWY 501 WEST, MYRTLE BEACH, SC 29577-9746
(843) 444-0405
(843) 444-0507
Mailing address
1508 HWY 501 WEST, MYRTLE BEACH, SC 29577-9746
(843) 444-0405
(843) 444-0507
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME699
—
SC
Enumeration date
01/09/2006
Last updated
08/22/2020
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