Organization
CAROLINA ORTHOTICS AND PROSTHETICS OF MYRTLE BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. RALPH HOOPER JR. CPO (VICE PRESIDENT)
(843) 577-9577
Entity
Organization
Contact information
Practice address
285 MEETING ST, CHARLESTON, SC 29401-1550
(843) 577-9577
(843) 577-9574
Mailing address
11945 GRANDHAVEN DR, MURRELLS INLET, SC 29576-8091
(843) 651-5347
(843) 651-3451
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2909
—
SC
Enumeration date
04/23/2009
Last updated
04/23/2009
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