CONCOURSE BRACING & ORTHOTICS NPI 1730366485

NPI Information

NPI: 1730366485
Provider Name: CONCOURSE BRACING & ORTHOTICS
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
2183 RAMBLEWOOD CIR
DECATUR, GA
ZIP 30035
Phone: (678) 518-9533
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CONCOURSE BRACING & ORTHOTICS is a customized equipment durable medical equipment medical supplies in Decatur, GA. CONCOURSE BRACING & ORTHOTICS NPI is 1730366485. The provider is registered as an organization entity type.

The provider's business location address is:

2183 RAMBLEWOOD CIR
DECATUR, GA
ZIP 30035-644
Phone: (678) 518-9533
Fax: (678) 518-9583

The provider's authorized official is Patti A Selders-robinson .
The authorized official title is Billing Manager and has the following contact phone number (678) 518-9533.

The enumeration date for this NPI number is 1/24/2008 and was last updated on 1/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	52188205 001	OTHER	GEORGIA	BLUECROSS BLUESHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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