Organization
HANGER PROSTHETICS & ORTHOTICS EAST INC
Active
Parent organization
HANGER, INC.
Other names
Hanger Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER, INC.
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
2440 LAWRENCEVILLE HWY STE 101, DECATUR, GA 30033-3266
(770) 939-2640
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000508208D
—
GA
01
—
300003791E
MEDICAID PAYEE #
GA
Enumeration date
11/20/2006
Last updated
01/12/2022
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