NPI 1467623124

Pediatric Mobility

Organisation Prosthetic/Orthotic Supplier Macon, GA

Practice location

Address: 130 College St, Macon, GA 31201-1607
Phone: (478) 951-7576
Mailing address: 1058 Warwick Dr, Macon, GA 31210-1540

Authorised official

Name: Ted L Hyde
Title: Owner/Manager
Phone: (478) 474-5641

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Georgia →

Registry record

NPI: 1467623124
Entity type: Organization
NPI issued: 20 Mar 2008
Record last updated: 20 Mar 2008

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.