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Organization

TIERNEY ORTHOTICS AND PROSTHETICS INC.

Active
Parent organization
TIERNEY ORTHOTICS AND PROSTHETICS INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TIERNEY ORTHOTICS AND PROSTHETICS INC
Authorized official
GEOFFREY TIBBS CO (DIRECTOR OF CRANIAL)
(336) 830-4762
Entity
Organization

Contact information

Practice address
1409 YANCEYVILLE ST STE B, GREENSBORO, NC 27405-6961
(336) 537-3901
(336) 893-9537
Mailing address
1345 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3041
(336) 546-7165

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
05/24/2024
Last updated
01/07/2026
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