Organization
AUGUSTA ORTHOTICS AND PROSTHETICS, INC
Active
Other names
Augusta Orthotics and Prosthetics, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY RAY RICE III (OWNER)
(706) 733-8878
Entity
Organization
Contact information
Practice address
1000 HAWTHORNE AVE, SUITE I, ATHENS, GA 30606-2168
(706) 850-5604
(706) 850-5819
Mailing address
2068 WRIGHTSBORO RD, AUGUSTA, GA 30904
(706) 733-8878
(706) 733-4434
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
20012475027
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00828253A
—
GA
05
—
DE1438
—
SC
Enumeration date
04/13/2006
Last updated
12/13/2016
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