Organization
BOLAND PROSTHETIC & ORTHOTIC CENTER LLC
Active
Other names
Boland Prosthetic & Orthotic Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL A BOLAND CPO (OWNER)
(478) 953-2922
Entity
Organization
Contact information
Practice address
1673 WESLEYAN DR, MACON, GA 31210-1031
(478) 996-5191
(478) 953-2927
Mailing address
1673 WESLEYAN DR, MACON, GA 31210-1031
(478) 996-5191
(478) 953-2927
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
300760100
GA
Other
Enumeration date
04/10/2017
Last updated
11/11/2021
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