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Organization

LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.

Active
Other names
Restore POC
Organization subpart
No

Provider details

NPI number
Authorized official
JANET WOODALL (DIRECTOR, CONTRACTING)
(336) 397-0993
Entity
Organization

Contact information

Practice address
1901 BRUNSWICK AVE, SUITE 240, CHARLOTTE, NC 28207-2809
(704) 348-4488
(704) 348-4496
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0340W
BLUE CROSS BLUE SHILED OF NC
NC
05
1922048313
NC
05
7704573
NC
05
DE2868
SC
01
LEVE9603-001
LINKIA
NC
Enumeration date
06/07/2006
Last updated
07/23/2019
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