Organization
POSITIVE IMAGE PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M PUCKETT CPO/ LPO (PRESIDENT/OWNER)
(912) 354-7500
Entity
Organization
Contact information
Practice address
POSITIVE IMAGE PROSTHETICS & ORTHOTICS, INC., 5202 WATERS AVE., SAVANNAH, GA 31404-6230
(912) 354-7500
(912) 354-7887
Mailing address
POSITIVE IMAGE PROSTHETICS & ORTHOTICS, INC., 5202 WATERS AVE., SAVANNAH, GA 31404-6230
(912) 354-7500
(912) 354-7887
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000844698A
—
GA
05
—
003212044A
—
GA
05
—
DE1986
—
SC
Enumeration date
04/20/2006
Last updated
06/03/2024
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