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Mr. Russell David Holcomb, LCPO
Prosthetist in Canton, Georgia
NPI 1477610475

Russell David Holcomb is a Prosthetist based in Canton, GA. Russell David Holcomb practices in Canton, GA and has the professional credentials of LCPO. The NPI Number for Russell David Holcomb is 1477610475 and holds a License No. 003 (Georgia).

The current practice location address for Russell David Holcomb is 95 Hickory Springs Ind Dr, Canton, GA and can be reached out via phone at 770-345-6899 and via fax at 770-345-7341.

Location: 95 Hickory Springs Ind Dr, Canton, GA, 30115-7933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477610475
Provider Name
Russell David Holcomb
Credential
LCPO
Provider Entity Type
Individual
Gender
Male
Address
95 Hickory Springs Ind Dr, Canton, GA, 30115-7933
Phone Number
770-345-6899
Fax Number
770-345-7341
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7700620 05 NC
institution
Provider Business Practice Location Address Details
Address
95 Hickory Springs Ind Dr
City
Canton
State
Georgia
Zip
30115-7933
Phone Number
770-345-6899
Fax Number
770-345-7341
person
Provider Business Mailing Address Details
Address
95 Hickory Springs Ind Dr
City
Canton
State
Georgia
Zip
30115-7933
Phone Number
770-345-6899
Fax Number
770-345-7341
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
003 (Georgia)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
003 (Georgia)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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