Provider Demographics
NPI:1700470812
Name:A LEG TO STAND ON PROSTHETICS AND ORTHOTICS LLC.
Entity Type:Organization
Organization Name:A LEG TO STAND ON PROSTHETICS AND ORTHOTICS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:CP LP
Authorized Official - Phone:478-559-3097
Mailing Address - Street 1:1111 GRIFFIN AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:EASTMAN
Mailing Address - State:GA
Mailing Address - Zip Code:31023-9104
Mailing Address - Country:US
Mailing Address - Phone:478-559-3097
Mailing Address - Fax:478-559-3099
Practice Address - Street 1:1111 GRIFFIN AVE STE 1A
Practice Address - Street 2:
Practice Address - City:EASTMAN
Practice Address - State:GA
Practice Address - Zip Code:31023-9104
Practice Address - Country:US
Practice Address - Phone:478-559-3097
Practice Address - Fax:478-559-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty