Organization
GUILFORD ORTHOTIC & PROSTHETIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY JOHNSON (OWNER)
(336) 676-5394
Entity
Organization
Contact information
Practice address
405 PARKWAY, SUITE G, GREENSBORO, NC 27401-1657
(336) 676-5394
(336) 676-5395
Mailing address
405 PARKWAY DR, SUITE G, GREENSBORO, NC 27401-1308
(336) 676-5394
(336) 676-5395
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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