Individual provider · Type 1 NPI

Jerry W. O'Neal

Prosthetic/Orthotic Supplier · Greenville, SC

NPI number 1679712137 Active

Practice location

40 Lanneau Dr, Suite 2A, 1990 Augusta Street
Greenville, SC 29605-1708

Fax (864) 232-3308

Mailing address

1990 Augusta St Ste 2A
Greenville, SC 29605-2997

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1679712137

Jerry W. O'Neal's National Provider Identifier is 1679712137, issued on Feb 6, 2009. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Greenville, SC. The record was last updated on Apr 30, 2009.