Mark Root, CFO COF

NPI #1518142215 in Columbia, South Carolina

Provider Information

NPI Number: 1518142215
Entity Type: Individual
Name: Mark Root, CFO COF
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotic Fitter
Credential: CFO COF
Enumeration Date: Jan 1, 2008
Last Updated: Jan 1, 2008

Practice Location

Address: 5950 HAMPTON LEAS LN
City: Columbia
State: South Carolina
ZIP Code: 29209-1900
Phone: (803) 960-0952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary

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