| NPI | 1508057779 |
|---|---|
| Doing Business As | WACCAMAW PROSTHETICS AND ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | WARREN D GIBSON Pratitioner 843-347-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-06-30 |