OrganizationActive
Carolina Orthotics and Prosthetics LLC
NPI 1104801125 · Prosthetic/Orthotic Supplier · N Charleston, SC
Provider details
- NPI number
- 1104801125
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- David Vick, Coo(843) 577-9577
Specialties & taxonomies
Suppliers
Practice location
3465 W Montague Ave Ste 101
N Charleston, SC 29418-5938
Phone: (843) 577-9577
Fax: (843) 577-9574
Approximate (ZIP-level) locationGet directions
Mailing address
4975 Lacross Rd Ste 314
North Charleston, SC 29406-6531
Registry dates
- Enumerated
- 2005-12-13
- Last updated
- 2022-02-23
- Certified
- 2022-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.