Organization
MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CORCORAN CPO (CEO)
(301) 585-5347
Entity
Organization
Contact information
Practice address
440 ROPER MOUNTAIN RD STE G2, GREENVILLE, SC 29615-4235
(864) 646-0029
(864) 646-0039
Mailing address
2421 LINDEN LN, SILVER SPRING, MD 20910-1230
(301) 585-5347
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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