Organization
ADVANTAGE O & P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM K SELL (OPERATIONS MANAGER)
(843) 669-0000
Entity
Organization
Contact information
Practice address
2295 S IRBY ST, FLORENCE, SC 29505-3424
(843) 673-9998
(843) 669-4729
Mailing address
PO BOX 12448, FLORENCE, SC 29504-2448
(843) 669-0000
(843) 669-4729
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2592
—
SC
Enumeration date
05/04/2006
Last updated
03/28/2008
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