Organization
CAROLINA ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE R HOOPER JR. CPO (PRESIDENT)
(843) 577-9577
Entity
Organization
Contact information
Practice address
1097B COOK RD, ORANGEBURG, SC 29118-8209
(803) 937-5456
(803) 937-5460
Mailing address
3801 W MONTAGUE AVE, STE 100, NORTH CHARLESTON, SC 29418-5938
(843) 577-9577
(843) 718-1438
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
06/21/2017
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