Organization
ADVANCED PROSTHETICS OF SENECA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BAKER (DIR. OF HR)
(864) 622-0900
Entity
Organization
Contact information
Practice address
108 KEOWEE SCHOOL RD, SENECA, SC 29672-6741
(864) 886-8952
(864) 886-8954
Mailing address
108 KEOWEE SCHOOL RD, SENECA, SC 29672-6741
(864) 886-8952
(864) 886-8954
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2799
—
SC
Enumeration date
07/17/2006
Last updated
05/04/2021
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