Carolina Orthotics and Prosthetics LLC
NPI #1104801125 in N Charleston, South Carolina
Provider Information
- NPI Number
- 1104801125
- Entity Type
- Organization
- Organization Name
- Carolina Orthotics and Prosthetics LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Dec 13, 2005
- Last Updated
- Feb 23, 2022
Practice Location
- Address
- 3465 W MONTAGUE AVE STE 101
- City
- N Charleston
- State
- South Carolina
- ZIP Code
- 29418-5938
- Phone
- (843) 577-9577
Authorized Official
- Name
- DAVID VICK
- Title
- COO
- Phone
- (843) 577-9577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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