ORTHO KICKZ OF THE CAROLINAS

BEAUFORT, SC
NPI1295133684
Entity TypeOrganization
Authorized ContactRODERIC BAIN
Owner
912-963-7090
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2014-12-17
Last Update Date2016-06-01
Business Address
ORTHO KICKZ OF THE CAROLINAS
219 SCOTT ST SUITE 177
BEAUFORT, SC 29902-5554
Phone number: 912-963-7090
Mailing Address
ORTHO KICKZ OF THE CAROLINAS
219 SCOTT ST SUITE 177
BEAUFORT, SC 29902-5554
Phone number: 912-963-7090
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