Organization
MIDLANDS PROSTHETICS & ORTHOTICS
Active
Parent organization
HANGER INC
Other names
Hanger Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
1018 DRUID PARK AVE, AUGUSTA, GA 30904-5848
(706) 737-7371
(706) 737-7372
Mailing address
P O BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
000008
GA
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000943379B
—
GA
01
—
10045167
AMERIGROUP
GA
05
—
DE1980
—
SC
Enumeration date
10/24/2006
Last updated
02/09/2022
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