institution
Peachstate Prosthetics And Orthotics, Inc
Prosthetic/Orthotic Supplier in Blairsville, Georgia
NPI 1003810748

Peachstate Prosthetics And Orthotics, Inc is a Prosthetic/Orthotic Supplier based in Blairsville, GA. Peachstate Prosthetics And Orthotics, Inc practices in Blairsville, GA. The NPI Number for Peachstate Prosthetics And Orthotics, Inc is 1003810748 and holds a License No. (Georgia).

The current practice location address for Peachstate Prosthetics And Orthotics, Inc is 178 Bracketts Way Ste 3, Blairsville, GA and can be reached out via phone at 706-400-5750 and via fax at 706-400-5751.

Location: 178 Bracketts Way Ste 3, Blairsville, GA, 30512-2984
institution
Provider Profile Details
NPI Number
1003810748
Provider Name
Peachstate Prosthetics And Orthotics, Inc
Credential
Provider Entity Type
Organization
Address
178 Bracketts Way Ste 3, Blairsville, GA, 30512-2984
Phone Number
706-400-5750
Fax Number
706-400-5751
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000690852A 05 GA
20010497912 01 GA STATE SALES TAX ID
1003810748 01 GA NPI
LPO#000004 01 GA COMPOSITE MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
178 Bracketts Way Ste 3
City
State
Zip
30512-2984
Phone Number
706-400-5750
Fax Number
706-400-5751
person
Provider Business Mailing Address Details
Address
178 Bracketts Way Ste 3
City
State
Zip
30512-2984
Phone Number
706-400-5750
Fax Number
706-400-5751
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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