Organization
SMOKY MOUNTAIN LIMB AND BRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CUSTER JD (OWNER)
(828) 586-8160
Entity
Organization
Contact information
Practice address
256 MARSH LILY DR, SYLVA, NC 28779-9477
(828) 586-8160
(828) 586-8209
Mailing address
PO BOX 223, SYLVA, NC 28779-0223
(828) 586-8160
(828) 586-8209
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NC
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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