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Jerry W O'neal
Prosthetic/Orthotic Supplier in Greenville, South Carolina
NPI 1679712137

Jerry W O'neal is a Prosthetic/Orthotic Supplier based in Greenville, SC. Jerry W O'neal practices in Greenville, SC. The NPI Number for Jerry W O'neal is 1679712137 and holds a License No. (South Carolina).

The current practice location address for Jerry W O'neal is 40 Lanneau Dr, Greenville, SC and can be reached out via phone at 864-232-3307 and via fax at 864-232-3308.

Location: 40 Lanneau Dr, Greenville, SC, 29605-2997
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679712137
Provider Name
Jerry W O'neal
Credential
Provider Entity Type
Individual
Gender
Male
Address
40 Lanneau Dr, Greenville, SC, 29605-2997
Phone Number
864-232-3307
Fax Number
864-232-3308
Provider Enumeration Date
02/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 Lanneau Dr
City
Greenville
State
South Carolina
Zip
29605-1708
Phone Number
864-232-3307
Fax Number
864-232-3308
person
Provider Business Mailing Address Details
Address
40 Lanneau Dr
City
Greenville
State
South Carolina
Zip
29605-1708
Phone Number
864-232-3307
Fax Number
864-232-3308
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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