Organization
SUMMIT PROSTHETICS & ORTHOTICS
Active
Organization
SUMMIT PROSTHETICS & ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE DRISCOLL (PRESIDENT)
(919) 812-0153
Entity
Organization
Contact information
Practice address
1006 PROCURE DR, SUITE 300, FUQUAY VARINA, NC 27526-2627
(919) 552-1464
(919) 552-1465
Mailing address
1006 PROCURE DR, SUITE 300, FUQUAY VARINA, NC 27526-2627
(919) 552-1464
(919) 552-1465
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO02014
DE
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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