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Organization
SUNSHINE PROSTHETICS INC
Active
Organization
SUNSHINE PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLARKE (OWNER)
(252) 881-0118
Entity
Organization
Contact information
Practice address
118 NASH ST SW STE E, WILSON, NC 27893-3917
(252) 881-0118
Mailing address
2302 NASH ST N STE E-400, WILSON, NC 27896-1741
(252) 881-0118
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
—
CPO1739
NATIONAL CERTIFICATION
NC
Enumeration date
08/02/2018
Last updated
10/23/2019
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