IndividualActive
John Mcmicking, CPO
NPI 1609769256 · Prosthetist · Orangeburg, SC
Provider details
- NPI number
- 1609769256
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2664 Saint Matthews Rd # B
Orangeburg, SC 29118-1344
Phone: (803) 534-6567
Approximate (ZIP-level) locationGet directions
Mailing address
2664 Saint Matthews Rd # B
Orangeburg, SC 29118-1344
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.