NPI 1639155021
Southern Orthotics
Practice location
- Address
- 1601 Ashley Center Unit 88, Valdosta, GA 31602-3055
- Phone
- (229) 671-1161
- Fax
- (888) 886-4887
Authorised official
- Name
- Eva Wynell Perez
- Title
- Sole Proprietor
- Phone
- (229) 671-1161
Registered specialties (2)
Prosthetic/Orthotic Supplier
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1639155021
- Entity type
- Organization
- NPI issued
- 19 Dec 2005
- Record last updated
- 11 Sep 2025
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.