Organization
ORTHOPAEDIC TECHNOLOGY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY D WATKINS SR. BOCO (CERTIFIED ORTHOTIST)
(404) 215-9944
Entity
Organization
Contact information
Practice address
577 RALPH MCGILL BLVD NE, ATLANTA, GA 30312-1110
(404) 215-9944
(404) 215-9160
Mailing address
577 RALPH MCGILL BLVD NE, ATLANTA, GA 30312-1110
(404) 215-9944
(404) 215-9160
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
090590LGS
GA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00929651A
—
GA
05
—
00929651C
—
GA
Enumeration date
07/11/2006
Last updated
09/11/2025
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