BERRY DEWAYNE AYCOCK

PINEHURST, NC
NPI1386204923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: GA  02948)
Additional Taxonomies224P00000X Prosthetist
(Licence: GA  02948)
Enumeration Date2019-06-17
Last Update Date2019-06-17
Business Address
BERRY DEWAYNE AYCOCK CPO
325 PAGE RD N STE 3
PINEHURST, NC 28374-0088
Phone number: 910-295-2828
Mailing Address
BERRY DEWAYNE AYCOCK CPO
PO BOX 4754
PINEHURST, NC 28374-4754
Phone number: 910-295-2828