Organization
ORTHO-P.O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE TINIO LLENA CO (PRESIDENT)
(770) 995-4310
Entity
Organization
Contact information
Practice address
1190 FIVE FORKS TRICKUM RD, SUITE 5, LAWRENCEVILLE, GA 30045-9392
(770) 995-4310
(770) 995-4320
Mailing address
1190 FIVE FORKS TRICKUM RD, SUITE 5, LAWRENCEVILLE, GA 30045-9392
(770) 995-4310
(770) 995-4320
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00969328A
—
GA
Enumeration date
10/24/2006
Last updated
08/22/2020
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