Organization
MUSC PROSTHETIC ORTHOTIC SERVICES LLC
Active
Organization
MUSC PROSTHETIC ORTHOTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VICK (MANAGING PARTNER)
(843) 577-9577
Entity
Organization
Contact information
Practice address
135 RUTLEDGE AVE FL 4, CHARLESTON, SC 29425-8903
(843) 876-7063
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335E00000X
TAXONOMY
—
Enumeration date
11/28/2017
Last updated
03/24/2022
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