Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY W O'NEAL

Active Sole Proprietor

Prosthetic/Orthotic Supplier · GREENVILLE, SC

Registration Details

NPI Number: 1679712137
Provider Type: Individual
Gender: Male
NPI Issued: Feb 6, 2009 (17.205941220867 yrs)
Last Updated: Apr 30, 2009
Sole Proprietor: Yes

Practice Information

Address: 40 LANNEAU DR

SUITE 2A, 1990 AUGUSTA STREET

GREENVILLE, SC, 296051708
Browse SC providers · Browse ZIP 29605
Phone: 8642323307
Fax: 8642323308
Primary Specialty: Prosthetic/Orthotic Supplier
335E00000X

Other Prosthetic/Orthotic Supplier Providers in GREENVILLE, SC

Name	Credential	NPI
CODY FULLER	CPO	1730761388
SHERELLE BROWNING	SCP	1043047665

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.