Organization
PROSTHETIC CARE, LLC
Active
Other names
Procare Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
PALLAVI CHINTAPALLI NEMANI (COMPLIANCE OFFICER)
(512) 552-6311
Entity
Organization
Contact information
Practice address
135 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(770) 271-5581
(770) 271-5531
Mailing address
4460 COMMERCE DR, BUFORD, GA 30518-3489
(770) 271-5581
(770) 271-5531
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335E0000X
TAXONOMY
GA
Enumeration date
03/25/2019
Last updated
01/25/2023
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