Organization
MILLEDGEVILLE ORTHOTICS INC
Active
Other names
no
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CLAUDE EASON CERTIFIED ORTHOTIST (OWNER)
(478) 453-7327
Entity
Organization
Contact information
Practice address
535 N COBB ST, MILLEDGEVILLE, GA 31061-2636
(478) 453-7327
(478) 451-0741
Mailing address
PO BOX 564, HARDWICK, GA 31034-0564
(478) 453-7327
(478) 451-0741
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
000018
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000018
GA LIC. ORTHOTIST
GA
Enumeration date
01/22/2008
Last updated
02/15/2008
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