Southern Orthocare INC

NPI #1154568640 in Kingsport, Tennessee

Provider Information

NPI Number: 1154568640
Entity Type: Organization
Organization Name: Southern Orthocare INC
Primary Specialty: Prosthetic/Orthotic Supplier
Enumeration Date: Jan 21, 2009
Last Updated: Apr 19, 2010

Practice Location

Address: 1567 N EASTMAN RD
Address 2: SUITE 4
City: Kingsport
State: Tennessee
ZIP Code: 37664-2683
Phone: (423) 247-0032

Authorized Official

Name: MR. JOSEPH T HUNTSMAN JR., MBA, MA
Title: CEO
Phone: (423) 307-1890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Prosthetic/Orthotic Supplier	335E00000X	Primary

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