NPI 1013949247

Amputee Prosthetic Clinic, Co.

Organisation Prosthetic/Orthotic Supplier Macon, GA

Practice location

Address: 4900 Mercer University Dr, Macon, GA 31210-6239
Phone: (478) 474-5678
Fax: (478) 474-5018

Authorised official

Name: Pam S Young
Title: Off. Manager/Business Owner
Phone: (478) 474-5678

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CP2910 (GA)

Other Prosthetic/Orthotic Supplier providers in Georgia →

Registry record

NPI: 1013949247
Entity type: Organization
NPI issued: 7 Jul 2006
Record last updated: 19 Jan 2024

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.