Organization
ADVANCED PROSTHETICS OF SPARTANBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDWINA W. SANDERS LISBON (CONTRACTS MANAGER)
(803) 509-6261
Entity
Organization
Contact information
Practice address
790 N CHURCH ST, SPARTANBURG, SC 29303-3047
(864) 504-3490
(864) 504-3449
Mailing address
790 N CHURCH ST, SPARTANBURG, SC 29303-3047
(864) 504-3490
(864) 504-3449
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
06/19/2019
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