Organization
ADVANCED PROSTHETICS, INC
Active
Parent organization
ADVANCED PROSTHETICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED PROSTHETICS, INC
Authorized official
MRS. MICHELLE A MCGAHA (OFFICE MANAGER)
(864) 859-4709
Entity
Organization
Contact information
Practice address
400 SE MAIN ST STE E, SIMPSONVILLE, SC 29681-2693
(864) 963-8000
(864) 963-5400
Mailing address
400 SE MAIN ST STE E, SIMPSONVILLE, SC 29681-2693
(864) 963-8000
(864) 963-5400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
19076
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3403
—
SC
Enumeration date
11/21/2008
Last updated
01/05/2015
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