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Organization
NORTH CAROLINA ORTHOTICS & PROSTHETICS OF ROCKY MOUNT, INC
Active
Organization
NORTH CAROLINA ORTHOTICS & PROSTHETICS OF ROCKY MOUNT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY JOHNCOUR (OWNER)
(919) 556-3402
Entity
Organization
Contact information
Practice address
3721 SUNSET AVE, ROCKY MOUNT, NC 27804-3327
(252) 210-3472
(252) 210-3473
Mailing address
2717 LEIGHTON RIDGE DR, STE100, WAKE FOREST, NC 27587-5987
(252) 535-0077
(252) 535-0078
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7705385
—
NC
Enumeration date
06/30/2011
Last updated
08/14/2018
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