Organization
SOUTHEASTERN ORTHOTICS & PROSTHETICS, INC
Active
Parent organization
SOUTHEASTERN ORTHOTICS & PROSTHETICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASTERN ORTHOTICS & PROSTHETICS
Authorized official
LAUREN VAUGHN (VP OF OPERATIONS)
(615) 890-2160
Entity
Organization
Contact information
Practice address
220 1ST ST NW, CLEVELAND, TN 37311-5006
(423) 559-0500
(423) 559-0541
Mailing address
PO BOX 305172, NASHVILLE, TN 37230-5172
(423) 559-0500
(423) 559-0541
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/09/2006
Last updated
01/18/2022
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