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Second To Nature Mastectomy Boutique
Prosthetic/Orthotic Supplier in Greensboro, North Carolina
NPI 1316128747

Second To Nature Mastectomy Boutique is a Prosthetic/Orthotic Supplier based in Greensboro, NC. Second To Nature Mastectomy Boutique practices in Greensboro, NC. The NPI Number for Second To Nature Mastectomy Boutique is 1316128747 and holds a License No. 600186564 (North Carolina).

The current practice location address for Second To Nature Mastectomy Boutique is 500 State St Unit A, Greensboro, NC and can be reached out via phone at 336-274-2003 and via fax at 336-274-2052.

Location: 500 State St Unit A, Greensboro, NC, 27417-0968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316128747
Provider Name
Second To Nature Mastectomy Boutique
Credential
Provider Entity Type
Organization
Address
500 State St Unit A, Greensboro, NC, 27417-0968
Phone Number
336-274-2003
Fax Number
336-274-2052
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0360A 01 NC BCBS
7702598 05 NC
institution
Provider Business Practice Location Address Details
Address
500 State St Unit A
City
Greensboro
State
North Carolina
Zip
27405-5659
Phone Number
336-274-2003
Fax Number
336-274-2052
person
Provider Business Mailing Address Details
Address
500 State St Unit A
City
Greensboro
State
North Carolina
Zip
27405-5659
Phone Number
336-274-2003
Fax Number
336-274-2052
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
600186564 (North Carolina)
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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