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Mrs. Imogene W Cantrell
Prosthetic/Orthotic Supplier in Columbus, Georgia
NPI 1568523488

Imogene W Cantrell is a Prosthetic/Orthotic Supplier based in Columbus, GA. Imogene W Cantrell practices in Columbus, GA. The NPI Number for Imogene W Cantrell is 1568523488 and holds a License No. (Georgia).

The current practice location address for Imogene W Cantrell is 1129 13Th St, Columbus, GA and can be reached out via phone at 706-660-8877 and via fax at 706-660-8877.

Location: 1129 13Th St, Columbus, GA, 31914-0618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568523488
Provider Name
Imogene W Cantrell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1129 13Th St, Columbus, GA, 31914-0618
Phone Number
706-660-8877
Fax Number
706-660-8877
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00650394A 05 GA
institution
Provider Business Practice Location Address Details
Address
1129 13Th St
City
Columbus
State
Georgia
Zip
31901-2248
Phone Number
706-660-8877
Fax Number
706-660-8877
person
Provider Business Mailing Address Details
Address
1129 13Th St
City
Columbus
State
Georgia
Zip
31901-2248
Phone Number
706-660-8877
Fax Number
706-660-8877
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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