Individual
JURGEN ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5103 N KINGS HWY, MYRTLE BEACH, SC 29577-2550
(843) 449-1200
(843) 492-5116
Mailing address
5103 N KINGS HWY, MYRTLE BEACH, SC 29577-2550
(843) 449-1200
(843) 492-5116
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C49980
MD
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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