Provider Demographics
NPI:1588804231
Name:ORTHOPEDIC CLINICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ORTHOPEDIC CLINICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:REDDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-785-9201
Mailing Address - Street 1:904 CENTER ST NE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-4536
Mailing Address - Country:US
Mailing Address - Phone:770-785-9201
Mailing Address - Fax:770-602-1603
Practice Address - Street 1:904 CENTER ST NE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-4536
Practice Address - Country:US
Practice Address - Phone:770-785-9201
Practice Address - Fax:770-602-1603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment