Provider First Line Business Practice Location Address:
2500 WEST 5TH STREET
Provider Second Line Business Practice Location Address:
CAROLINA ORTHO PROSTHETICS INC
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27834-7812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-752-1253
Provider Business Practice Location Address Fax Number:
252-757-3058
Provider Enumeration Date:
11/19/2008