Individual
MR. BRADLEY CLAY HORNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
931 MEDICAL CIR, MYRTLE BEACH, SC 29572-4122
(843) 877-5224
Mailing address
931 MEDICAL CIR, MYRTLE BEACH, SC 29572-4122
(843) 877-5224
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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