Ortho Kickz Of The Carolinas

NPI 1295133684 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1295133684
Enumeration Date 12/17/2014
Last Updated 06/01/2016
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RODERIC RODERIC
Position OWNER
Phone (912) 963-7090
Fax (912) 355-5619
Practice Location
219 SCOTT ST
SUITE 177
BEAUFORT SC, 29902-5554, US
Phone (912) 963-7090
Fax (912) 355-5619
Business Location
219 SCOTT ST
SUITE 177
BEAUFORT SC, 29902-5554, US
Phone (912) 963-7090
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
Remove 1295133684 NPI Number
 

According to our database, Ortho Kickz Of The Carolinas NPI is 1295133684, taxonomy code is 332B00000X Ortho Kickz Of The Carolinas physically located at 219 Scott St, Beaufort SC, 29902-5554. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1295133684 NPI number is provided on an as is basis without warranty of any kind. 1295133684 is maintained by the National Plan & Provider Enumeration System. The contents of Ortho Kickz Of The Carolinas are for informational purposes only.