Waccamaw Prosthetics And Orthotics

LBN: Warren D. Gibson
Waccamaw Prosthetics And Orthotics is an health care organization with primary practice located at 1629 Highway 544 , Conway SC 29526-8452. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Warren D. Gibson can be contacted via phone (843) 347-7281, or through Gibson, Warren D via phone (843) 347-7281.

Contact Information

Primary practice address
1629 Highway 544 Conway SC 29526-8452
Phone: (843) 347-7281
Fax: (843) 347-9785
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Warren D
Phone: (843) 347-7281

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1508057779
LBN Legal business name Warren D. Gibson
DBA Doing business as Waccamaw Prosthetics And Orthotics
Authorized official Gibson, Warren D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Jun 30th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508057779 NPPES
South Carolina MEDICAID DE2045

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