Organization
LEGALLY LACED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANNAH BOHLER (OWNER)
(478) 217-1105
Entity
Organization
Contact information
Practice address
1000 CORPORATE POINTE STE 214, WARNER ROBINS, GA 31088-3440
(478) 217-1105
Mailing address
1000 CORPORATE POINTE STE 214, WARNER ROBINS, GA 31088-3440
(478) 217-1105
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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