Organization
GEORGIA ORTHOTICS & PROSTHETICS
Active
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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