Individual
MICHAEL TIMOTHY FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPO
Contact information
Practice address
110 PIPEMAKERS CIR STE 115, POOLER, GA 31322-4168
(912) 988-1526
Mailing address
3208 ROBERTSON AVE, THUNDERBOLT, GA 31404-5330
(912) 224-8763
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO03353
GA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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