NPI 1083038780

The Braces Place

Organisation Exclusive Provider Organization Lexington, SC

Practice location

Address: 502 N Lake Dr, Lexington, SC 29072-2806
Phone: (803) 359-4480

Authorised official

Name: Robert F. Garrison
Title: Owner
Phone: (803) 661-8468

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 302494 (SC)

Other Exclusive Provider Organization providers in South Carolina →

Registry record

NPI: 1083038780
Entity type: Organization
NPI issued: 17 Feb 2014
Record last updated: 17 Feb 2014

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.