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NPI Code Detail

MEDICARE: ADVANCED BRACE & LIMB

MEDICARE: ADVANCED BRACE & LIMB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1689992851
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED BRACE & LIMB
Provider Business Mailing Address
First Line : 3617 NIGHTFALL CT
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6370
Country : US
Telephone Number : 919-818-0359
Fax Number : 800-967-4245
Provider Business Practice Location Address
First Line : 4140 FERNCREEK DR
Second Line : SUITE 803
City : FAYETTEVILLE
State : NC
Zip : 28314-2572
Country : US
Telephone Number : 919-818-0359
Fax Number : 800-967-4245
Authorized Official
Title or Position : VICE PRESIDENT
Name : CHRISTOPHER P ENEY
Credential :
Telephone Number : 919-818-0359
Provider Enumeration Date : 05/12/2010
Last Update Date : 07/08/2024

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Directions to “ADVANCED BRACE & LIMB ” Practice Location

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