Amputee Prosthetic Clinic

LBN: Amputee Prosthetic Clinic, Company
Amputee Prosthetic Clinic is an health care organization with primary practice located at 2400 Bellevue Rd Ste 22 , Dublin GA 31021-2889. 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, Company can be contacted via phone (478) 246-1694, or through Young, Pamela S via phone (478) 474-5678.

Contact Information

Primary practice address
2400 Bellevue Rd Ste 22 Dublin GA 31021-2889
Phone: (478) 246-1694
Fax: (478) 246-1690
Website:
Map and Directions
Authorized official contact:
Name: Young, Pamela S
Phone: (478) 474-5678

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X CP2910 Georgia

Profile Details

NPI number 1215969498
LBN Legal business name Amputee Prosthetic Clinic, Company
DBA Doing business as Amputee Prosthetic Clinic
Authorized official Young, Pamela S
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 19th, 2024 - about 10 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215969498 NPPES
Georgia MEDICAID 408774069C

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