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BOLAND PROSTHETIC & ORTHOTIC CENTER LLC NPI 1013440718


NPI Information

NPI: 1013440718
Provider Name: BOLAND PROSTHETIC & ORTHOTIC CENTER LLC

Former Legal Business Name: BOLAND PROSTHETIC & ORTHOTIC CENTER LLC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1673 WESLEYAN DR
MACON, GA
ZIP 31210
Phone: (478) 996-5191
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BOLAND PROSTHETIC & ORTHOTIC CENTER LLC is a prosthetic orthotic supplier in Macon, GA. The provider is 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. BOLAND PROSTHETIC & ORTHOTIC CENTER LLC NPI is 1013440718. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Boland Prosthetic & Orthotic Center Llc.

The provider's business location address is:

1673 WESLEYAN DR
MACON, GA
ZIP 31210-031
Phone: (478) 996-5191
Fax: (478) 953-2927

The provider's authorized official is Paul A Boland .
The authorized official title is Owner and has the following contact phone number (478) 953-2922.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 11/11/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic Supplier300760100GEORGIAYes

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: 4/28/2024

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