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POSITIVE IMAGE PROSTHETICS & ORTHOTICS INC NPI 1235194341


NPI Information

NPI: 1235194341
Provider Name: POSITIVE IMAGE PROSTHETICS & ORTHOTICS INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
5202 WATERS AVENUE
SAVANNAH, GA
ZIP 31404
Phone: (912) 354-7500
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POSITIVE IMAGE PROSTHETICS & ORTHOTICS INC is a prosthetic orthotic supplier in Savannah, 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. POSITIVE IMAGE PROSTHETICS & ORTHOTICS INC NPI is 1235194341. The provider is registered as an organization entity type.

The provider's business location address is:

5202 WATERS AVENUE
SAVANNAH, GA
ZIP 31404
Phone: (912) 354-7500
Fax: (912) 354-7887

The provider's authorized official is David M Puckett .
The authorized official title is Cpo Pres Owner and has the following contact phone number (912) 354-7500.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 11/19/2013.


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 SupplierYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11163520003MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
2000844698AMEDICAIDGEORGIA
31163520002MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
4DE1986MEDICAIDSOUTH CAROLINA

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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