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Edilberto Montenegro SR.
Prosthetic/Orthotic Supplier in Norcross, Georgia
NPI 1295146793

Edilberto Montenegro SR. is a Prosthetic/Orthotic Supplier based in Norcross, GA. Edilberto Montenegro SR. practices in Norcross, GA. The NPI Number for Edilberto Montenegro SR. is 1295146793 and holds a License No. (Georgia).

The current practice location address for Edilberto Montenegro SR. is 5376 Lambert Dr Apt A, Norcross, GA and can be reached out via phone at 470-362-9008 and via fax at 678-400-7896.

Location: 5376 Lambert Dr Apt A, Norcross, GA, 30093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295146793
Provider Name
Edilberto Montenegro SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
5376 Lambert Dr Apt A, Norcross, GA, 30093
Phone Number
470-362-9008
Fax Number
678-400-7896
Provider Enumeration Date
05/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5376 Lambert Dr Apt A
City
Norcross
State
Georgia
Zip
30093-4864
Phone Number
470-362-9008
Fax Number
678-400-7896
person
Provider Business Mailing Address Details
Address
5376 Lambert Dr Apt A
City
Norcross
State
Georgia
Zip
30093-4864
Phone Number
470-362-9008
Fax Number
678-400-7896
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
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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