Organization
TRIAD ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY ALAN KING C.P.O. (OWNER)
(828) 327-8777
Entity
Organization
Contact information
Practice address
560 MALCOLM BLVD STE C, CONNELLY SPRINGS, NC 28612-7918
(828) 327-8777
(828) 327-8771
Mailing address
PO BOX 833, RUTHERFORD COLLEGE, NC 28671-0833
(828) 327-8777
(828) 327-8771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704624
—
NC
Enumeration date
11/26/2007
Last updated
04/16/2026
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