Organization
INNER COASTAL ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG MICHAEL BERRY (OWNER/PRESIDENT)
(252) 623-2200
Entity
Organization
Contact information
Practice address
1102 NORTH BROWN ST., WASHINGTON, NC 27889
(252) 623-2200
(252) 623-2015
Mailing address
1102 NORTH BROWN ST., WASHINGTON, NC 27889
(252) 623-2200
(252) 623-2015
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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