Amputee Prosthetic Clinic

LBN: Amputee Prosthetic Clinic, Co.
Amputee Prosthetic Clinic is an health care organization with primary practice located at 805 Camden Way , Tifton GA 31794-8093. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Amputee Prosthetic Clinic, Co. can be contacted via phone (229) 387-6600, or through Young, Pam S via phone (478) 474-5678.

Contact Information

Primary practice address
805 Camden Way Tifton GA 31794-8093
Phone: (229) 387-6600
Fax: (229) 387-7800
Website:
Map and Directions
Authorized official contact:
Name: Young, Pam S
Phone: (478) 474-5678

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1578590972
LBN Legal business name Amputee Prosthetic Clinic, Co.
DBA Doing business as Amputee Prosthetic Clinic
Authorized official Young, Pam S
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 19th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578590972 NPPES
Georgia Other 6016598 DEPT. OF LABOR
Georgia MEDICAID 408774069A DEPT. OF LABOR

Popular Providers