Organization
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH YOUNG (DIRECTOR OF CONTRACTING)
(336) 397-0991
Entity
Organization
Contact information
Practice address
39B OAK HILL CT, BUILDING B, NEWNAN, GA 30265-2392
(770) 253-9411
(770) 253-9414
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
819674427A
—
GA
Enumeration date
01/19/2009
Last updated
10/18/2017
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