Organization
FAITH PROSTHEITC-ORTHOTIC SERVICES
Active
Other names
Greenwood Prosthetic-Orthotic Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIM B PRICE JR. PH.D, C.P.O. (PRESIDENT)
(704) 782-0908
Entity
Organization
Contact information
Practice address
303 W ALEXANDER AVE, STE I, GREENWOOD, SC 29646-4078
(864) 229-3299
(864) 229-4491
Mailing address
303 W ALEXANDER AVE, STE I, GREENWOOD, SC 29646-4078
(864) 229-3299
(864) 229-4491
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2063
—
SC
Enumeration date
07/01/2005
Last updated
08/22/2020
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