NPI 1063617629

Charleston Brace Company, LLC

Organisation Prosthetic/Orthotic Supplier Walterboro, SC

Practice location

Address: 111 Magnolia St, Walterboro, SC 29488-2911
Phone: (843) 542-9000
Fax: (843) 542-2612
Mailing address: 9470 Highway 78 # a, Ladson, SC 29456-3909

Authorised official

Name: Nathaniel Jackson
Title: Owner
Phone: (843) 542-9000

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 015090713 (SC)

Other Prosthetic/Orthotic Supplier providers in South Carolina →

Registry record

NPI: 1063617629
Entity type: Organization
NPI issued: 15 Jun 2007
Record last updated: 15 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.