Organization
MOBILITY PROSTHETICS, LLC
Active
Organization
MOBILITY PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY LEN SANDERS CPO (OWNER)
(864) 281-9399
Entity
Organization
Contact information
Practice address
2007 WOODRUFF ROAD, GREENVILLE, SC 29607
(864) 281-9399
(864) 281-9396
Mailing address
2007 WOODRUFF ROAD, GREENVILLE, SC 29607
(864) 281-9399
(864) 281-9396
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2342
—
SC
Enumeration date
03/23/2006
Last updated
10/21/2009
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