Organization
FOURROUX PROSTHETICS, INC
Active
Parent organization
FOURROUX PROSTHETICS, INC
Other names
Fourroux Orthotics & Prosthetics, Inc., Fourroux Prosthetics
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOURROUX PROSTHETICS, INC
Authorized official
MR. W KEITH WATSON CPO (OWNER/PRESIDENT)
(256) 534-8672
Entity
Organization
Contact information
Practice address
5209 LINBAR DR STE 603, NASHVILLE, TN 37211-1027
(615) 471-4383
(800) 963-5010
Mailing address
2743 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4103
(256) 534-8672
(800) 963-5010
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6192613
BCBS OF TENNESSEE
TN
05
—
Q050007
—
TN
Enumeration date
02/21/2014
Last updated
08/13/2020
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