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Individual

JOHN MCMICKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
2664 SAINT MATTHEWS RD # B, ORANGEBURG, SC 29118-1344
(803) 534-6567
Mailing address
2664 SAINT MATTHEWS RD # B, ORANGEBURG, SC 29118-1344
(803) 534-6567

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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