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MILLEDGEVILLE ORTHOTICS INC NPI 1316124324


NPI Information

NPI: 1316124324
Provider Name: MILLEDGEVILLE ORTHOTICS INC

Doing Business As: NO

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 11D0976438

Address:
535 N COBB ST
MILLEDGEVILLE, GA
ZIP 31061
Phone: (478) 453-7327
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MILLEDGEVILLE ORTHOTICS INC is a prosthetic orthotic supplier in Milledgeville, 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. MILLEDGEVILLE ORTHOTICS INC NPI is 1316124324. The provider is registered as an organization entity type.
The provider Is Doing Business As No.

The provider's business location address is:

535 N COBB ST
MILLEDGEVILLE, GA
ZIP 31061-636
Phone: (478) 453-7327
Fax: (478) 451-0741

The provider's authorized official is William Claude Eason .
The authorized official title is Owner and has the following contact phone number (478) 453-7327.

The CLIA number assigned to this NPI record is 11D0976438 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 2/15/2008.


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
1335E00000XProsthetic/Orthotic Supplier000018GEORGIAYes

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
1000018OTHERGEORGIAGA LIC. ORTHOTIST
20321370001MEDICARE NSCGEORGIA

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: 5/5/2024

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