Organization
PALMETTO PROSTHETICS AND ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L MOYD CPO (OWNER/CPO)
(843) 673-9222
Entity
Organization
Contact information
Practice address
451 W CHEVES ST, FLORENCE, SC 29501-4446
(843) 673-9222
(843) 673-0333
Mailing address
451 W CHEVES ST, FLORENCE, SC 29501-4446
(843) 673-9222
(843) 673-0333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701735
—
NC
05
—
DME769
—
SC
Enumeration date
05/17/2006
Last updated
01/27/2017
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