OrganizationActive
Charleston Brace Company, LLC
NPI 1063617629 · Prosthetic/Orthotic Supplier · Walterboro, SC
Provider details
- NPI number
- 1063617629
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Charleston Brace Company, LLC
- Organization subpart
- Yes
- Authorized official
- Nathaniel Jackson, Owner(843) 542-9000
- License
- 015090713 (SC)
Specialties & taxonomies
Suppliers
Practice location
111 Magnolia St
Walterboro, SC 29488-2911
Phone: (843) 542-9000
Fax: (843) 542-2612
Approximate (ZIP-level) locationGet directions
Mailing address
9470 Highway 78 # a
Ladson, SC 29456-3909
Registry dates
- Enumerated
- 2007-06-15
- Last updated
- 2024-07-15
- Certified
- 2024-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.