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John Sprouse
Prosthetic/Orthotic Supplier in Greenwood, South Carolina
NPI 1043471006

John Sprouse is a Prosthetic/Orthotic Supplier based in Greenwood, SC. John Sprouse practices in Greenwood, SC. The NPI Number for John Sprouse is 1043471006 and holds a License No. (South Carolina).

The current practice location address for John Sprouse is 1513 Montague Avenue Ext, Greenwood, SC and can be reached out via phone at 864-229-3997 and via fax at 864-388-9419.

Location: 1513 Montague Avenue Ext, Greenwood, SC, 29649-9030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043471006
Provider Name
John Sprouse
Credential
Provider Entity Type
Organization
Address
1513 Montague Avenue Ext, Greenwood, SC, 29649-9030
Phone Number
864-229-3997
Fax Number
864-388-9419
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
DM0613 05 SC
institution
Provider Business Practice Location Address Details
Address
1513 Montague Avenue Ext
City
Greenwood
State
South Carolina
Zip
29649-9030
Phone Number
864-229-3997
Fax Number
864-388-9419
person
Provider Business Mailing Address Details
Address
1513 Montague Avenue Ext
City
Greenwood
State
South Carolina
Zip
29649-9030
Phone Number
864-229-3997
Fax Number
864-388-9419
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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