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Organization

PROSTHETIC CARE, LLC

Active
Other names
PROCARE PROSTHETICS AND ORTHOTICS
Organization subpart
No

Provider details

NPI number
Authorized official
PALLAVI CHINTAPALLI NEMANI (COMPLIANCE OFFICER)
(512) 552-6311
Entity
Organization

Contact information

Practice address
1135 PRINCE AVE, ATHENS, GA 30606-2729
(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
000032
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00678345A
GA
01
931851232
DUN
GA
Enumeration date
05/07/2015
Last updated
01/25/2023
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform