Healthcare Provider Details

I. General information

NPI: 1477860161
Provider Name (Legal Business Name): STEVEN EDWARD HAMONTREE CPO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2010
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 GROVE RD SUITE B-1
GREENVILLE SC
29605-4600
US

IV. Provider business mailing address

1009 GROVE RD SUITE B-1
GREENVILLE SC
29605-4600
US

V. Phone/Fax

Practice location:
  • Phone: 864-370-2010
  • Fax: 864-370-1611
Mailing address:
  • Phone: 864-370-2010
  • Fax: 864-370-1611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: