Organization
ADVANCED PROSTHETICS OF SPARTANBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM PETERS (OWNER)
(864) 582-4411
Entity
Organization
Contact information
Practice address
102 WILLOW LN, SPARTANBURG, SC 29307-1343
(864) 582-4411
(864) 573-6717
Mailing address
102 WILLOW LN, SPARTANBURG, SC 29307-1343
(864) 582-4411
(864) 573-6717
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/25/2010
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