Provider Demographics
NPI:1972837532
Name:AMERICAN BRACE & LIMB ENTERPRISE, PLLC
Entity Type:Organization
Organization Name:AMERICAN BRACE & LIMB ENTERPRISE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-318-8824
Mailing Address - Street 1:1044 S CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-5235
Mailing Address - Country:US
Mailing Address - Phone:423-318-8824
Mailing Address - Fax:423-318-2872
Practice Address - Street 1:1044 S CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-5235
Practice Address - Country:US
Practice Address - Phone:423-318-8824
Practice Address - Fax:423-318-2872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier