Organization
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH YOUNG (DIRECTOR OF CONTRACTING)
(336) 397-0991
Entity
Organization
Contact information
Practice address
1810 MULKEY RD STE 202, AUSTELL, GA 30106-1150
(678) 738-7380
(678) 738-7382
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
987901078A
—
GA
Enumeration date
06/12/2009
Last updated
07/21/2022
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