Organization
MJ WALK LLC
Active
Other names
Carolina-Walk Orthotics and Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE R HOOPER JR. CPO (PRESIDENT)
(843) 577-9577
Entity
Organization
Contact information
Practice address
300 NEW RIVER PKWY, BLDG 6 STE 12, HARDEEVILLE, SC 29927-4450
(843) 707-1018
(843) 707-1016
Mailing address
3465 W MONTAGUE AVE, SUITE 101, N CHARLESTON, SC 29418-5938
(843) 577-9577
(843) 577-9574
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3223
—
SC
Enumeration date
06/22/2009
Last updated
08/30/2013
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