Premier Orthotics & Prosthetics, Inc in Clarkston - Prosthetic/orthotic Supplier
Premier Orthotics & Prosthetics, Inc - NPI 1295916344
Premier Orthotics & Prosthetics, Inc is a Prosthetic/orthotic Supplier in Clarkston, Georgia. Premier Orthotics & Prosthetics, Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Premier Orthotics & Prosthetics, Inc is 1295916344. The last update date is 2007-11-16.
Premier Orthotics & Prosthetics, Inc's current location address is 753 N Indian Creek Dr, Clarkston, Georgia. You can contact this provider via phone number 4042924200 and fax number 4042924247. The mailing address for Premier Orthotics & Prosthetics, Inc is 753 N Indian Creek Dr, Clarkston, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premier Orthotics & Prosthetics, Inc |
|---|---|
| Address | 753 N Indian Creek Dr, Clarkston, Georgia |
| Phone Number | 4042924200 |
| Fax Number | 4042924247 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/OWNER |
|---|---|
| Authorized Official Name | Dixon Melvin |
| Credentials | CPO |
| Telephone Number | 4042924200 |
NPI Number Detail
| NPI Number | 1295916344 |
|---|---|
| Provider Enumeration Date | 2007-11-16 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 753 N Indian Creek Dr |
|---|---|
| City | Clarkston |
| State | Georgia (GA) |
| Post Code | 300212347 |
| Phone Number | 4042924200 |
| Fax Number | 4042924247 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 78 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00846513A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Premier Orthotics & Prosthetics, Inc by the Centers for Medicare & Medicaid Services?
The Premier Orthotics & Prosthetics, Inc has been assigned the NPI (National Provider Identifier) 1295916344 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Premier Orthotics & Prosthetics, Inc's facilities are geographically located?
The facilities of Premier Orthotics & Prosthetics, Inc are physically situated at the following location: 753 N Indian Creek Dr, Clarkston, GA, 300212347.
What is Premier Orthotics & Prosthetics, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Premier Orthotics & Prosthetics, Inc's specialized field of practice is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295916344 to Premier Orthotics & Prosthetics, Inc?
The Premier Orthotics & Prosthetics, Inc received its 1295916344 assignment from the Centers for Medicare & Medicaid Services on 2007-11-16.
When was the information pertaining to Premier Orthotics & Prosthetics, Inc most recently updated or revised?
The details related to Premier Orthotics & Prosthetics, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-16.
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