NPI 1730761388

Cody Fuller, CPO

Practitioner Prosthetic/Orthotic Supplier Greenville, SC

Practice location

Address: 6 Old Grove Rd, Greenville, SC 29605-4769
Phone: (864) 552-9772
Mailing address: 703 N Fant St STE a, Anderson, SC 29621-5705

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in South Carolina →

Registry record

NPI: 1730761388
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2021
Record last updated: 23 Apr 2021

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.