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NPI Code Detail

MEDICARE: SKYLAND PROSTHETICS & ORTHOTICS INC

MEDICARE: SKYLAND PROSTHETICS & ORTHOTICS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Z00000XOrthotist
2224900000XMastectomy Fitter
3224L00000XPedorthist
4224P00000XProsthetist
5332BC3200XCustomized Equipment (DME)
6335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10496AOTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114919206
Entity Type Code : Organization
Provider Name (Legal Business Name) : SKYLAND PROSTHETICS & ORTHOTICS INC
Provider Business Mailing Address
First Line : 3845 HENDERSONVILLE RD
Second Line :
City : FLETCHER
State : NC
Zip : 28732-8241
Country : US
Telephone Number : 828-684-1644
Fax Number : 828-684-0648
Provider Business Practice Location Address
First Line : 3845 HENDERSONVILLE RD
Second Line :
City : FLETCHER
State : NC
Zip : 28732-8241
Country : US
Telephone Number : 828-684-1644
Fax Number : 828-684-0648
Authorized Official
Title or Position : OFFICE MANAGER
Name : MELISSA CRONK
Credential :
Telephone Number : 828-684-1644
Provider Enumeration Date : 08/16/2005
Last Update Date : 02/08/2023

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Practice Location Address:
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FLETCHER, NC
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1073641734 — MRS. LINDA G BRANCH C.O.M.F.
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28732-8241
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1043442957 — ANGELLA B POLSON MF
Practice Location Address:
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FLETCHER, NC
28732-8241
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Practice Fax: 828-684-0648

Directions to “SKYLAND PROSTHETICS & ORTHOTICS INC ” Practice Location

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