| NPI | 1649203670 |
|---|---|
| Doing Business As | CHARLESTON ORTHPEDIC |
| Entity Type | Organization |
| Authorized Contact | CECIL A TANKERSLEY President 304-343-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WV NOT APPLICABLE) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-07-29 |