Organization
NORTH CAROLINA ORTHOTICS & PROSTHETICS OF GOLDSBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM STANLEY STAUFFER CPO (PRESIDENT)
(919) 736-1010
Entity
Organization
Contact information
Practice address
1306 WAYNE MEMORIAL DR, SUITE C, GOLDSBORO, NC 27534-2257
(919) 736-1010
(919) 736-1011
Mailing address
9650 STRICKLAND RD, SUITE 103-402, RALEIGH, NC 27615-1902
(919) 736-1010
(919) 736-1011
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
NC
335E00000X
Prosthetic/Orthotic Supplier
Primary
2479
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7705090
—
NC
05
—
7795078
—
NC
Enumeration date
07/17/2009
Last updated
09/18/2013
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