Organization
CENTER FOR PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL KEITH RILEY SR. C.P. (PRESIDENT)
(803) 926-9020
Entity
Organization
Contact information
Practice address
811 SUNSET BLVD, WEST COLUMBIA, SC 29169-6857
(803) 926-9020
(803) 926-9639
Mailing address
811 SUNSET BLVD, WEST COLUMBIA, SC 29169-6857
(803) 926-9020
(803) 926-9639
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1748
—
SC
Enumeration date
12/31/2006
Last updated
03/14/2008
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