Organization
CAROLINA ORTHOTICS AND PROSTHETICS OF MYRTLE BEACH LLC
Active
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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