Organization
SOUTHERN ORTHOCARE INC
Active
Parent organization
SOUTHERN ORTHOCARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN ORTHOCARE INC
Authorized official
SHEENA E WILLIAMS (CREDENTIALING MANAGER)
(423) 307-1890
Entity
Organization
Contact information
Practice address
403 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2040
(423) 430-9480
(423) 430-9480
Mailing address
403 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2040
(423) 430-9480
(423) 430-9480
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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