Organization
CENTRAL ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C. WILLIAMS JR. C.P.O. (PRESIDENT)
(229) 891-2636
Entity
Organization
Contact information
Practice address
304 - A SUNSET CIRCLE, MOULTRIE, GA 31768
(229) 891-2636
(229) 228-0049
Mailing address
304 A SUNSET CIRCLE, MOULTRIE, GA 31768
(229) 891-2636
(229) 228-0049
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000135913F
—
GA
Enumeration date
05/23/2006
Last updated
05/29/2008
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