Organization
ADVANCED PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BAKER (DIR. OF HR)
(864) 622-0900
Entity
Organization
Contact information
Practice address
720 GRACERN RD STE 115, COLUMBIA, SC 29210-7658
(803) 509-6256
(803) 509-6254
Mailing address
720 GRACERN RD STE 115, COLUMBIA, SC 29210-7658
(803) 509-6256
(803) 509-6254
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3529
—
SC
Enumeration date
07/23/2012
Last updated
05/04/2021
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