Organization
AXIS PROSTHETICS AND ORTHOTICS, INC
Active
Other names
Atlantic Prosthetic Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MCDONALD CP BOCP (PRESIDENT)
(910) 350-0067
Entity
Organization
Contact information
Practice address
1142 SHIPYARD BLVD, WILMINGTON, NC 28412-6439
(910) 350-0067
(910) 350-0065
Mailing address
1142 SHIPYARD BLVD, WILMINGTON, NC 28412-6439
(910) 350-0067
(910) 350-0065
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046M8
BCBS
NC
05
—
7703733
—
NC
05
—
7704938
—
NC
Enumeration date
03/09/2007
Last updated
10/11/2023
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