MEDICARE: ROBERT ALLAN DAY CPO

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
1	222Z00000X	Orthotist	C26262	SC
2	224P00000X	Prosthetist	C26262	SC

General Provider Information

NPI Number	:	1932409505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ALLAN DAY CPO

Provider Business Mailing Address
First Line	:	2100 OLD HIGHWAY 17 N STE 102
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-2242
Country	:	US
Telephone Number	:	843-249-2500
Fax Number	:	843-249-2544

Provider Business Practice Location Address
First Line	:	2100 OLD HIGHWAY 17 N STE 102
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-2242
Country	:	US
Telephone Number	:	843-249-2500
Fax Number	:	843-249-2544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2010
Last Update Date	:	11/08/2016

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