Organization
ADVANCED ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIPE RAMON CARTAYA CPO (OWNER/P5RESIDENT)
(843) 206-3777
Entity
Organization
Contact information
Practice address
316 79TH AVE N, MYRTLE BEACH, SC 29572-4304
(843) 206-3777
Mailing address
316 79TH AVE N, MYRTLE BEACH, SC 29572-4304
(843) 206-3777
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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