| NPI | 1720079262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C VANN President 843-651-8570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: SC 026218673) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-12-28 |