Wooten Prosthetics Inc in Riverdale - Prosthetic/orthotic Supplier
Wooten Prosthetics Inc - NPI 1154367548
Wooten Prosthetics Inc is a Prosthetic/orthotic Supplier in Riverdale, Georgia. Wooten Prosthetics Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Wooten Prosthetics Inc is 1154367548. The last update date is 2013-09-12.
Wooten Prosthetics Inc's current location address is 203 Medical Way, Riverdale, Georgia. You can contact this provider via phone number 7709917128 and fax number 7709917130. The mailing address for Wooten Prosthetics Inc is 203 Medical Way, Riverdale, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wooten Prosthetics Inc |
|---|---|
| Address | 203 Medical Way, Riverdale, Georgia |
| Phone Number | 7709917128 |
| Fax Number | 7709917130 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/CEO |
|---|---|
| Authorized Official Name | Wooten L Jan |
| Credentials | CP |
| Telephone Number | 7709917128 |
NPI Number Detail
| NPI Number | 1154367548 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2013-09-12 |
Provider Mailing Address Detail
| Address | 203 Medical Way |
|---|---|
| City | Riverdale |
| State | Georgia (GA) |
| Post Code | 302742517 |
| Phone Number | 7709917128 |
| Fax Number | 7709917130 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
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 |
|---|---|---|---|
| 00317204A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wooten Prosthetics Inc by the Centers for Medicare & Medicaid Services?
The Wooten Prosthetics Inc has been assigned the NPI (National Provider Identifier) 1154367548 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Wooten Prosthetics Inc?
The Wooten Prosthetics Inc is physically situated at 203 Medical Way, in the city of Riverdale, state of GA, with the postal code 302742517.
What is Wooten Prosthetics Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wooten Prosthetics Inc is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.
When did Wooten Prosthetics Inc receive its 1154367548 assignment?
The Wooten Prosthetics Inc was assigned its 1154367548 on 2006-06-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Wooten Prosthetics Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wooten Prosthetics Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-09-12.