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Organization

GEORGIA CAROLINA ORTHOTIC CENTERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOM ALLEN D WILLIAMS CO (OWNER)
(706) 814-3848
Entity
Organization

Contact information

Practice address
2301 WRIGHTSBORO RD, AUGUSTA, GA 30904-6219
(706) 496-3911
Mailing address
2301 WRIGHTSBORO RD, AUGUSTA, GA 30904-6219
(706) 496-3911

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
60
GA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003210294A
GA
Enumeration date
08/07/2018
Last updated
04/24/2019
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