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NPI Code Detail

MEDICARE: CAROLINA SPORTS AND ORTHOPEDICS SALES INC

MEDICARE: CAROLINA SPORTS AND ORTHOPEDICS SALES 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
1332B00000XDurable Medical Equipment & Medical Supplies01075436-5SC

General Provider Information

NPI Number : 1750482170
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINA SPORTS AND ORTHOPEDICS SALES INC
Provider Business Mailing Address
First Line : 1223 REMOUNT RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-3418
Country : US
Telephone Number : 800-775-5666
Fax Number : 843-763-8777
Provider Business Practice Location Address
First Line : 1223 REMOUNT RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-3418
Country : US
Telephone Number : 800-775-5666
Fax Number : 843-763-8777
Authorized Official
Title or Position : PRESIDENT
Name : MR. FREDERICK P MURRAY
Credential :
Telephone Number : 843-763-5630
Provider Enumeration Date : 09/26/2006
Last Update Date : 04/04/2019

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Directions to “CAROLINA SPORTS AND ORTHOPEDICS SALES INC ” Practice Location

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