Organization
BROOKS PROSTHETICS AND ORTHOTICS
Active
Organization
BROOKS PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERI LECKIE (OFFICE MANAGER)
(864) 282-5213
Entity
Organization
Contact information
Practice address
527 MILLS AVE STE 101B, GREENVILLE, SC 29605-5602
(864) 282-5213
(864) 282-5214
Mailing address
527 MILLS AVE STE 101B, GREENVILLE, SC 29605-5602
(864) 282-5213
(864) 282-5214
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3401
—
SC
Enumeration date
11/04/2010
Last updated
04/09/2019
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