Organization
AU HEALTH PROFESSIONS ASSOCIATES, INC.
Active
Other names
Clinic for Prosthetic Restoration
Organization subpart
No
Provider details
NPI number
Authorized official
LESTER PRETLOW (CHAIR OF THE BOARD)
(706) 721-3285
Entity
Organization
Contact information
Practice address
987 SAINT SEBASTIAN WAY, EC 1500, AUGUSTA, GA 30912-2613
(706) 721-1225
Mailing address
1120 15TH ST, CJ 1101, AUGUSTA, GA 30912-2613
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003180856A
—
GA
Enumeration date
09/17/2014
Last updated
02/06/2018
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