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North Carolina Orthotics & Prosthetics Of Rocky Mount, INC

Durable Medical Equipment & Medical Supplies, Customized Equipment in Rocky Mount, NC. Organization (NPI-2).

NPI number1376830273
StatusActive
Last updated in NPPESAug 14, 2018

Details

NPI
1376830273
Entity type
Organization (NPI-2)
Legal business name
North Carolina Orthotics & Prosthetics Of Rocky Mount, INC
Organization subpart
No
Enumeration date
Jun 30, 2011
Last updated
Aug 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––Yes
335E00000X Prosthetic/Orthotic Supplier–NC

Practice location

3721 Sunset Ave
Rocky Mount, NC 27804-3327

Phone 252-210-3472 · Fax 252-210-3473

Mailing address

2717 Leighton Ridge Dr
Ste100
Wake Forest, NC 27587-5987

Phone 252-535-0077 · Fax 252-535-0078

Authorized official

Cindy Johncour
Owner
9195563402

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