NPI 1013440718

Boland Prosthetic & Orthotic Center LLC

Organisation Prosthetic/Orthotic Supplier Macon, GA

Practice location

Address: 1673 Wesleyan Dr, Macon, GA 31210-1031
Phone: (478) 996-5191
Fax: (478) 953-2927

Authorised official

Name: Paul a Boland
Title: Owner
Phone: (478) 953-2922

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 300760100 (GA)

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Registry record

NPI: 1013440718
Entity type: Organization
NPI issued: 10 Apr 2017
Record last updated: 11 Nov 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.