Organization
OWENS CAROLINA ORTHOTIC & PROSTHETIC NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN WALLACE MHCA (ADMINISTRATOR)
(704) 332-5143
Entity
Organization
Contact information
Practice address
998 RIVERWALK PKWY STE 205, ROCK HILL, SC 29730-0117
(704) 332-5143
Mailing address
998 RIVERWALK PKWY STE 205, ROCK HILL, SC 29730-0117
(704) 332-5143
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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