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Organization

GEORGIA ORTHOTICS & PROSTHETICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE RAY ALTMAN (OWNER/PRESIDENT)
(478) 745-8623
Entity
Organization

Contact information

Practice address
135 NORTHCREST BLVD, MACON, GA 31210-1845
(478) 745-8623
(478) 745-9859
Mailing address
135 NORTH CREST BLD, MACON, GA 31210
(478) 745-8623
(478) 745-9859

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00896761A
GA
Enumeration date
08/13/2006
Last updated
01/04/2012
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