Organization
PROSTHETIC CARE OF ANDERSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E HAMONTREE (CEO)
(949) 863-1951
Entity
Organization
Contact information
Practice address
615 COOK ST, ROYSTON, GA 30662-3933
(706) 245-6212
(706) 245-6262
Mailing address
18022 COWAN, SUITE 285, IRVINE, CA 92614-6806
(949) 863-1951
(949) 863-1419
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
90
GA
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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