Amputee and Brace Clnc in
NPI #1215108196 in Georgetown, South Carolina
Provider Information
- NPI Number
- 1215108196
- Entity Type
- Organization
- Organization Name
- Amputee and Brace Clnc in
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 18, 2008
- Last Updated
- Mar 18, 2008
Practice Location
- Address
- 605 N FRASER ST
- City
- Georgetown
- State
- South Carolina
- ZIP Code
- 29440-3265
- Phone
- (843) 545-9999
Authorized Official
- Name
- MARTIN LAMAR GUNN
- Title
- PRESIDENT
- Phone
- (843) 545-9999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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