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Organization

ALBEMARLE ORTHOTICS & PROSTHETICS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY S WILLIAMSON CPO (OWNER)
(252) 338-3002
Entity
Organization

Contact information

Practice address
103 NC HIGHWAY 42 W, AHOSKIE, NC 27910-9725
(252) 332-4334
(252) 338-2902
Mailing address
103 NC HIGHWAY 42 W, AHOSKIE, NC 27910-9725
(252) 332-4334
(252) 338-2902

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
Primary
335E00000X
Prosthetic/Orthotic Supplier
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0482P
BCBS
NC
01
384410
BCBS
VA
05
7701327
NC
05
7705057
NC
Enumeration date
07/03/2007
Last updated
12/09/2020
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