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Organization
AXIS PROSTHETICS AND ORTHOTICS, INC
Active
Organization
AXIS PROSTHETICS AND ORTHOTICS, INC
Active
Other names
Atlantic Prosthetic Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MCDONALD CP BOCP (PRESIDENT)
(910) 350-0067
Entity
Organization
Contact information
Practice address
1142 SHIPYARD BLVD, WILMINGTON, NC 28412-6439
(910) 350-0067
(910) 350-0065
Mailing address
1142 SHIPYARD BLVD, WILMINGTON, NC 28412-6439
(910) 350-0067
(910) 350-0065
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046M8
BCBS
NC
05
—
7703733
—
NC
05
—
7704938
—
NC
Enumeration date
03/09/2007
Last updated
10/11/2023
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