Premier Orthotics & Prosthetics, Inc

LBN: Premier Orthotics & Prosthetics, Inc
Premier Orthotics & Prosthetics, Inc is an health care organization with primary practice located at 753 N Indian Creek Dr , Clarkston GA 30021-2347. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Premier Orthotics & Prosthetics, Inc can be contacted via phone (404) 292-4200, or through Dixon, Melvin via phone (404) 292-4200.

Contact Information

Primary practice address
753 N Indian Creek Dr Clarkston GA 30021-2347
Phone: (404) 292-4200
Fax: (404) 292-4247
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Melvin CPO
Phone: (404) 292-4200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 0078 Georgia

Profile Details

NPI number 1295916344
LBN Legal business name Premier Orthotics & Prosthetics, Inc
DBA Doing business as
Authorized official Dixon, Melvin CPO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295916344 NPPES
Georgia MEDICAID 00846513A

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