Amputee and Brace CLNC in

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AMPUTEE AND BRACE CLNC IN

Practice address

605 N Fraser St
Georgetown, SC 29440-3265

Phone

(843) 545-9999

NPI assigned

Mar 18, 2008

Last updated

Mar 18, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martin Lamar GunnNPI 1518177740

Title

President

Phone

(843) 545-9999

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin Lamar Gunn

  • Prosthetics Case Management
  • Georgetown, SC
  • NPI 1518177740
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1215108196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294420708",
            "telephone_number": "843-545-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403265",
            "telephone_number": "843-545-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPUTEE AND BRACE CLNC IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-545-9999"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David R Anderson, MD
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• Apex Professional Care
• Assisted Home Care LLC (Assisted Home Care)

• Durable Medical Equipment & Medical Supplies in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.