Organization
ANDERSON PROSTHETICS & ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CORCORAN JR. CPO (OWNER)
(301) 585-5347
Entity
Organization
Contact information
Practice address
1113 N FANT ST, ANDERSON, SC 29621-4819
(864) 225-1683
(864) 231-7374
Mailing address
1113 N FANT ST, ANDERSON, SC 29621-4819
(864) 225-1683
(864) 231-7374
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00926428A
—
GA
05
—
DE1943
—
SC
Enumeration date
05/05/2006
Last updated
07/21/2022
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