Home » South Carolina » 29572 » Carolina Orthotics & Prosthetics Of Mb Llc

Carolina Orthotics & Prosthetics Of Mb Llc

Carolina Orthotics & Prosthetics Of Mb Llc is a health care provider in N Charleston, SC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 9714 N Kings Hwy Ste 142, Myrtle Beach, SC 29572-4047, US
Practice Location Phone843-497-9558
Practice Location Fax843-497-9130
Legal Business NameCAROLINA ORTHOTICS & PROSTHETICS OF MB LLC
NPI ?1508008715
Entity TypeOrganization
Enumeration Date ? Apr 2, 2009
Last Update Date ? Sep 13, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Carolina Orthotics & Prosthetics Of Mb Llc

SpecialtySpecializationLicenseLicense State
Prosthetic/Orthotic Supplier South Carolina

legacy-id-icon Legacy Provider IDs of Carolina Orthotics & Prosthetics Of Mb Llc

Provider IdIssuer StateIssuer TypeIssuer
DE3311South CarolinaMedicaid

official-icon Authorized Official of Carolina Orthotics & Prosthetics Of Mb Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Carolina Orthotics & Prosthetics Of Mb Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official C. Ralph Hooper (CPO)
Authorized Official Title/PositionCEO
Authorized Official Phone Number843-577-9577