Healthcare Provider Details

I. General information

NPI: 1144394297
Provider Name (Legal Business Name): HANGER PROSTHETICS & ORTHOTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST NE STE 1785
ATLANTA GA
30308-2247
US

IV. Provider business mailing address

550 PEACHTREE ST NE STE 1785
ATLANTA GA
30308-2247
US

V. Phone/Fax

Practice location:
  • Phone: 404-581-9118
  • Fax:
Mailing address:
  • Phone: 404-581-9118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SHERYL PRICE
Title or Position: DIR OF REIMBURSEMENT
Credential:
Phone: 503-493-8288