UNITED ARTIFICIAL LIMB NPI 1730246653

NPI Information

NPI: 1730246653
Provider Name: UNITED ARTIFICIAL LIMB
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
95 HICKORY SPRINGS IND DR
CANTON, GA
ZIP 30115
Phone: (770) 345-6899
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UNITED ARTIFICIAL LIMB is a prosthetic orthotic supplier in Canton, 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. UNITED ARTIFICIAL LIMB NPI is 1730246653. The provider is registered as an organization entity type.

The provider's business location address is:

95 HICKORY SPRINGS IND DR
CANTON, GA
ZIP 30115-933
Phone: (770) 345-6899
Fax: (770) 345-7341

The provider's authorized official is Russell David Holcomb .
The authorized official title is Partner and has the following contact phone number (770) 345-6899.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 11/19/2008.

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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
3	335E00000X	Prosthetic/Orthotic Supplier		12	GEORGIA	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	0133300001	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	000377308A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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