Davidson Prosthetics & Orthotics
Prosthetic/Orthotic Supplier in Concord, NC. Organization (NPI-2).
NPI number1982202545
StatusActive
Last updated in NPPESMar 5, 2024
Details
- NPI
- 1982202545
- Entity type
- Organization (NPI-2)
- Legal business name
- Davidson Prosthetics & Orthotics
- Organization subpart
- Yes
- Enumeration date
- Oct 15, 2020
- Certification date
- Mar 5, 2024
- Last updated
- Mar 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | |
| 222Z00000X | – | – | ||
| 224P00000X | Prosthetist | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Renew Prosthetics And Orthotics (Doing Business As)
Practice location
845 Church St N Ste 205Concord, NC 28025-4374
Phone 704-467-8000
Mailing address
Po Box 650846Dallas, TX 75265-0846
Authorized official
Grace Angeline
Provider Contract Analyst III
7149612102
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