NPI 1053655530

Bradley Clay Hornick, CPO

Practitioner Prosthetist Myrtle Beach, SC

Practice location

Address: 931 Medical Cir, Myrtle Beach, SC 29572-4122
Phone: (843) 877-5224

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1053655530
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Nov 2012
Record last updated: 21 Nov 2012

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.