Organization
ORTHOPRO SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN GATLIN CPO (MANAGING MEMBER)
(478) 742-0212
Entity
Organization
Contact information
Practice address
458 HEMLOCK ST, SUITE 100A, MACON, GA 31201-4200
(478) 742-0212
(478) 742-0236
Mailing address
458 HEMLOCK ST, SUITE 100A, MACON, GA 31201-4200
(478) 742-0212
(478) 742-0236
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000897234C
—
GA
Enumeration date
08/19/2011
Last updated
08/11/2015
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