NPI 1154653830

Southern Orthotics & Prosthetics

Organisation Prosthetic/Orthotic Supplier Kingsport, TN

Practice location

Address: 1567 N Eastman Rd STE 4, Kingsport, TN 37664-2680
Phone: (423) 247-0032
Fax: (423) 247-0038

Authorised official

Name: Jason Joyce
Title: President
Phone: (423) 247-0032

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 62 PROS; 186 ORTHOT (TN)

Other Prosthetic/Orthotic Supplier providers in Tennessee →

Registry record

NPI: 1154653830
Entity type: Organization
NPI issued: 5 Feb 2010
Record last updated: 5 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.