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AUGUSTA ORTHOTICS AND PROSTHETICS INC NPI 1710941232


NPI Information

NPI: 1710941232
Provider Name: AUGUSTA ORTHOTICS AND PROSTHETICS, INC

Doing Business As: AUGUSTA ORTHOTICS AND PROSTHETICS, INC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1000 HAWTHORNE AVE
SUITE I
ATHENS, GA
ZIP 30606
Phone: (706) 850-5604
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AUGUSTA ORTHOTICS AND PROSTHETICS, INC is a prosthetic orthotic supplier in Athens, 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. AUGUSTA ORTHOTICS AND PROSTHETICS, INC NPI is 1710941232. The provider is registered as an organization entity type.
The provider Is Doing Business As Augusta Orthotics And Prosthetics, Inc.

The provider's business location address is:

1000 HAWTHORNE AVE
SUITE I
ATHENS, GA
ZIP 30606-168
Phone: (706) 850-5604
Fax: (706) 850-5819

The provider's authorized official is Roy Ray Rice .
The authorized official title is Owner and has the following contact phone number (706) 733-8878.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 12/13/2016.


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 Supplier20012475027GEORGIAYes

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
100828253AMEDICAIDGEORGIA
2DE1438MEDICAIDSOUTH CAROLINA
31268170003MEDICARE 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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