Southern Orthotics

LBN: Southern Orthotics
Southern Orthotics is an health care organization with primary practice located at 1601 Ashley Center Unit 88, Valdosta GA 31602-3055. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Southern Orthotics can be contacted via phone (229) 671-1161, or through Perez, Eva Wynell via phone (229) 671-1161.

Contact Information

Primary practice address
1601 Ashley Center Unit 88 Valdosta GA 31602-3055
Phone: (229) 671-1161
Fax: (888) 886-4887
Website:
Map and Directions
Authorized official contact:
Name: Perez, Eva Wynell
Phone: (229) 671-1161

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1639155021
LBN Legal business name Southern Orthotics
DBA Doing business as
Authorized official Perez, Eva Wynell
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1639155021 NPPES
Other DMEPOS PROVIDER NUMBER

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