Coastal Prosthetic & Orthotic Laboratory INC
NPI #1720079262 in Murrells Inlet, South Carolina
Provider Information
- NPI Number
- 1720079262
- Entity Type
- Organization
- Organization Name
- Coastal Prosthetic & Orthotic Laboratory INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Nov 3, 2005
- Last Updated
- Dec 28, 2010
Practice Location
- Address
- 11871 PLAZA DRIVE
- Address 2
- SUITE 6
- City
- Murrells Inlet
- State
- South Carolina
- ZIP Code
- 29576-9351
- Phone
- (843) 651-8570
Authorized Official
- Name
- MR. WILLIAM C VANN, CPO
- Title
- PRESIDENT
- Phone
- (843) 651-8570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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