Organization
HYDE PROSTHETICS AND ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD LAMAR HYDE (OWNER)
(770) 892-0170
Entity
Organization
Contact information
Practice address
290 COUNTRY CLUB DR STE 210, STOCKBRIDGE, GA 30281-9022
(770) 892-0170
(770) 892-0173
Mailing address
290 COUNTRY CLUB DR STE 210, STOCKBRIDGE, GA 30281-9022
(770) 892-0170
(770) 892-0173
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
08/27/2019
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