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Individual

CHARLES H PRITHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
1601 SW ARCHER RD, ORTHOTICS LAB, 121, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 271-4534
Mailing address
1601 SW ARCHER RD, ORTHOTICS LAB, 121, GAINESVILLE, FL 32608-1135
(353) 376-1611
(352) 271-4534

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7795151
NC
Enumeration date
01/16/2007
Last updated
10/06/2008
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