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Amputee Prosthetic Clinic, Co.
Prosthetic/Orthotic Supplier in Tifton, Georgia
NPI 1578590972

Amputee Prosthetic Clinic, Co. is a Prosthetic/Orthotic Supplier based in Macon, GA. Amputee Prosthetic Clinic, Co. practices in Tifton, GA. The NPI Number for Amputee Prosthetic Clinic, Co. is 1578590972 and holds a License No. (Georgia).

The current practice location address for Amputee Prosthetic Clinic, Co. is 805 Camden Way, Tifton, GA and can be reached out via phone at 229-387-6600 and via fax at 229-387-7800.

Location: 805 Camden Way, Tifton, GA, 31210-6239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578590972
Provider Name
Amputee Prosthetic Clinic, Co.
Credential
Provider Entity Type
Organization
Address
805 Camden Way, Tifton, GA, 31210-6239
Phone Number
229-387-6600
Fax Number
229-387-7800
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6016598 01 GA DEPT. OF LABOR
408774069A 05 GA
institution
Provider Business Practice Location Address Details
Address
805 Camden Way
City
Tifton
State
Georgia
Zip
31794-8093
Phone Number
229-387-6600
Fax Number
229-387-7800
person
Provider Business Mailing Address Details
Address
805 Camden Way
City
Tifton
State
Georgia
Zip
31794-8093
Phone Number
229-387-6600
Fax Number
229-387-7800
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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