Preferred Prosthetics & Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PREFERRED PROSTHETICS & ORTHOTICS, INC.

Practice address

3635 Altama Ave
Brunswick, GA 31520-3631

Phone

(912) 262-2102

Fax

(912) 262-2105

NPI assigned

May 15, 2006

Organization subpart

No

Locations

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randall L Smith

Title

Ceo

Phone

(912) 262-2102

Specialties & licenses 1

Addresses

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1912958968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1096",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315211096",
            "telephone_number": "912-262-2102",
            "fax_number": "912-262-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 ALTAMA AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203631",
            "telephone_number": "912-262-2102",
            "fax_number": "912-262-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-262-2102"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brunswick, GA
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.