Organization
SOUTH CAROLINA INSTITUTE OF PROSTHETICS,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY E JAMES CP (BRANCH MANAGER / AGENT)
(843) 208-2100
Entity
Organization
Contact information
Practice address
300 NEW RIVER PKWY, SUITE 12, HARDEEVILLE, SC 29927-4450
(843) 208-2100
(843) 208-2101
Mailing address
300 NEW RIVER PKWY, SUITE 12, HARDEEVILLE, SC 29927-4450
(843) 208-2100
(843) 208-2101
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2693CP
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2470
—
SC
Enumeration date
10/26/2006
Last updated
08/22/2020
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