Provider Demographics
NPI:1649678459
Name:ADVANTAGE ORTHOPEDIC SYSTEMS INC.
Entity type:Organization
Organization Name:ADVANTAGE ORTHOPEDIC SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:CHMIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-267-5514
Mailing Address - Street 1:3783 PRESIDENTIAL PKWY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-3709
Mailing Address - Country:US
Mailing Address - Phone:770-837-0496
Mailing Address - Fax:866-607-2512
Practice Address - Street 1:3783 PRESIDENTIAL PKWY
Practice Address - Street 2:SUITE 112
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30340-3709
Practice Address - Country:US
Practice Address - Phone:404-771-2051
Practice Address - Fax:866-607-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier