CAROLINA ORTHOTICS & PROSTHETICS OF MB LLC NPI 1508008715

NPI Information

CAROLINA ORTHOTICS & PROSTHETICS OF MB LLC is a prosthetic orthotic supplier in Myrtle Beach, SC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. CAROLINA ORTHOTICS & PROSTHETICS OF MB LLC NPI is 1508008715. The provider is registered as an organization entity type.

The provider's business location address is:

9714 N KINGS HWY STE 142
MYRTLE BEACH, SC
ZIP 29572-047
Phone: (843) 497-9558
Fax: (843) 497-9130

The provider's authorized official is C. Ralph Hooper .
The authorized official title is Ceo and has the following contact phone number (843) 577-9577.

The enumeration date for this NPI number is 4/2/2009 and was last updated on 9/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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