Organization
SOUNDSIDE ORTHOTICS & PROSTHETICS, LLC
Active
Other names
Coastal Prosthetics & Orthotics, LLC, Evergreen Prosthetics and Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HUNTSMAN (CEO)
(252) 638-1312
Entity
Organization
Contact information
Practice address
4252 ARENDELL ST, MOREHEAD CITY, NC 28557-0010
(252) 726-8068
(252) 631-1859
Mailing address
4110 DR MARTIN LUTHER KING JR BLVD STE C, NEW BERN, NC 28562-2270
(252) 638-1312
(252) 631-1859
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2025
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