Organization
MCR INC OF COLUMBIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ROOT (OWNER)
(803) 960-0952
Entity
Organization
Contact information
Practice address
209 LAURENT WAY, IRMO, SC 29063-9545
(803) 960-0952
(803) 832-7972
Mailing address
209 LAURENT WAY, IRMO, SC 29063-9545
(803) 960-0952
(803) 832-7972
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/06/2007
Last updated
10/17/2011
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