Organization
NORTH CAROLINA ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY JOHNCOUR (OWNER)
(919) 556-3402
Entity
Organization
Contact information
Practice address
2717 LEIGHTON RIDGE DR, SUITE 100, WAKE FOREST, NC 27587-5987
(919) 556-3402
(919) 556-1877
Mailing address
2717 LEIGHTON RIDGE DR, SUITE 100, WAKE FOREST, NC 27587-5987
(919) 556-3402
(919) 556-1877
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7705064
—
NC
Enumeration date
02/16/2007
Last updated
08/14/2018
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