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Boland Prosthetic & Orthotic Center LLC — NPI 1013440718, Macon, GA | NPI Central

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NPI 1013440718

OrganizationActive

Boland Prosthetic & Orthotic Center LLC

NPI 1013440718 · Prosthetic/Orthotic Supplier · Macon, GA

Provider details

NPI number: 1013440718
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Organization subpart: No
Authorized official: Paul Boland, Owner(478) 953-2922
License: 300760100 (GA)

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000XLicense 300760100 (GA)
Suppliers

Practice location

1673 Wesleyan Dr

Macon, GA 31210-1031

Phone: (478) 996-5191

Fax: (478) 953-2927

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

1673 Wesleyan Dr

Macon, GA 31210-1031

Other names (DBA / former)

Former legal business name: Boland Prosthetic & Orthotic Center LLC
Former legal business name: Boland Prosthetic & Orthotic Center LLC

Registry dates

Enumerated: 2017-04-10
Last updated: 2021-11-11
Certified: 2021-11-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.