OrganizationActive
Amputee Prosthetic Clinic, Co.
NPI 1013949247 · Prosthetic/Orthotic Supplier · Macon, GA
Provider details
- NPI number
- 1013949247
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Pam Young, Off. Manager/Business Owner(478) 474-5678
- License
- CP2910 (GA)
Specialties & taxonomies
Suppliers
Practice location
4900 Mercer University Dr
Macon, GA 31210-6239
Phone: (478) 474-5678
Fax: (478) 474-5018
Approximate (ZIP-level) locationGet directions
Mailing address
4900 Mercer University Dr
Macon, GA 31210-6239
Other names (DBA / former)
- Other name
- Amputee Prosthetic Clinic
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2024-01-19
- Certified
- 2024-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.