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Orthopro Services, LLC

Prosthetic/Orthotic Supplier in Macon, GA. Organization (NPI-2).

NPI number1417237694
StatusActive
Last updated in NPPESAug 11, 2015

Details

NPI
1417237694
Entity type
Organization (NPI-2)
Legal business name
Orthopro Services, LLC
Organization subpart
No
Enumeration date
Aug 19, 2011
Last updated
Aug 11, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

458 Hemlock St
Suite 100a
Macon, GA 31201-4200

Phone 478-742-0212 · Fax 478-742-0236

Mailing address

458 Hemlock St
Suite 100a
Macon, GA 31201-4200

Phone 478-742-0212 · Fax 478-742-0236

Authorized official

Ryan Gatlin
Managing Member
4787420212

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