Organization
CAROLINA ORTHOTICS AND PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VICK (COO)
(843) 577-9577
Entity
Organization
Contact information
Practice address
708 LAFAYETTE AVE, STE 4, CAMDEN, SC 29020
(803) 310-9401
(803) 310-9402
Mailing address
4975 LACROSS RD STE 314, NORTH CHARLESTON, SC 29406-6531
(843) 577-9577
(843) 718-1438
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
02/23/2022
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