institution
Custom Orthotics Of North Carolina, Llc
Customized Equipment (DME) in Durham, North Carolina
NPI 1932127396

Custom Orthotics Of North Carolina, Llc is a Customized Equipment (DME) based in Durham, NC and is specialized in Customized Equipment. Custom Orthotics Of North Carolina, Llc practices in Durham, NC. The NPI Number for Custom Orthotics Of North Carolina, Llc is 1932127396 and holds a License No. C18399 (North Carolina).

The current practice location address for Custom Orthotics Of North Carolina, Llc is 4125 Ben Franklin Blvd, Durham, NC and can be reached out via phone at 919-479-5990 and via fax at 919-479-8782.

Location: 4125 Ben Franklin Blvd, Durham, NC, 27704-2167
institution
Provider Profile Details
NPI Number
1932127396
Provider Name
Custom Orthotics Of North Carolina, Llc
Credential
Provider Entity Type
Organization
Address
4125 Ben Franklin Blvd, Durham, NC, 27704-2167
Phone Number
919-479-5990
Fax Number
919-479-8782
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
046P3 01 NC BCBS PROVIDER NUMBER
7704266 05 NC
institution
Provider Business Practice Location Address Details
Address
4125 Ben Franklin Blvd
City
State
Zip
27704-2167
Phone Number
919-479-5990
Fax Number
919-479-8782
person
Provider Business Mailing Address Details
Address
4125 Ben Franklin Blvd
City
State
Zip
27704-2167
Phone Number
919-479-5990
Fax Number
919-479-8782
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
C18399 (North Carolina)
Definition
Definition to come...
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