Organization
ADVANCED PROSTHETICS INC.
Active
Parent organization
ADVANCED PROSTHETICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED PROSTHETICS, INC
Authorized official
CAROL BAKER (DIR. OF HR)
(864) 622-0900
Entity
Organization
Contact information
Practice address
6 OLD GROVE RD, GREENVILLE, SC 29605-4769
(864) 552-9772
(864) 552-9773
Mailing address
6 OLD GROVE RD, GREENVILLE, SC 29605-4769
(864) 552-9772
(864) 552-9773
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
19076
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3391
—
SC
Enumeration date
12/30/2008
Last updated
05/04/2021
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