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Mr. Wayne Washington
Orthotic Fitter in Valdosta, Georgia
NPI 1508105875

Wayne Washington is a Orthotic Fitter based in Valdosta, GA. Wayne Washington practices in Valdosta, GA. The NPI Number for Wayne Washington is 1508105875 and holds a License No. CO040287 (Georgia).

The current practice location address for Wayne Washington is 422 E Park Ave, Valdosta, GA and can be reached out via phone at 229-247-5374 and via fax at 229-241-1981.

Location: 422 E Park Ave, Valdosta, GA, 31602-3036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508105875
Provider Name
Wayne Washington
Credential
Provider Entity Type
Individual
Gender
Male
Address
422 E Park Ave, Valdosta, GA, 31602-3036
Phone Number
229-247-5374
Fax Number
229-241-1981
Provider Enumeration Date
02/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
422 E Park Ave
City
Valdosta
State
Georgia
Zip
31602-3036
Phone Number
229-247-5374
Fax Number
229-241-1981
person
Provider Business Mailing Address Details
Address
422 E Park Ave
City
Valdosta
State
Georgia
Zip
31602-3036
Phone Number
229-247-5374
Fax Number
229-241-1981
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
CO040287 (Georgia)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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