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Contact Information

ANDERSON PROSTHETICS & ORTHOTICS, LLC
1113 N FANT ST
ANDERSON, SC29621-4819
 Phone: 864-225-1683
 Fax: 864-231-7374
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for ANDERSON PROSTHETICS & ORTHOTICS, LLC

NPI # 1245288745
LBN Legal business name ANDERSON PROSTHETICS & ORTHOTICS, LLC
Authorized official BRADFORD GARDNER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2006
Last updated 05/29/2026 - Less than a week ago
Identifiers
GA Medicaid 00926428A
SC Medicaid DE1943
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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