Organization
ADVANCED PROSTHETICS OF EASLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BAKER (DIR. OF HR)
(864) 622-0900
Entity
Organization
Contact information
Practice address
1661 E MAIN ST, EASLEY, SC 29640
(864) 859-4709
(864) 855-9331
Mailing address
1661 E MAIN ST, EASLEY, SC 29640-3791
(864) 859-4709
(864) 855-9331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1361
—
SC
Enumeration date
08/23/2005
Last updated
05/06/2021
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