GATEWOOD PROSTHETICS INC; NPI #1407035710

Contact Information

GATEWOOD PROSTHETICS INC

2515 OLD WHITTLESEY RD
SUITE A
COLUMBUS, GA 31909-3020

Phone: 706-596-8004
Fax: 706-327-3388
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for GATEWOOD PROSTHETICS INC

NPI Number 1407035710

LBN Legal business name GATEWOOD PROSTHETICS INC

Authorized official GEORGE GATEWOOD - (OWNER,PROSTHETIST,ORTHOTIST,PEDORTH)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/02/2007

Last updated 10/21/2013 - About 13 years ago

Identifiers

GA	License #	000071
GA	Medicaid	00919553A
GA	Other	138773	PEACHSTATE
GA	Other	N343442	WELLCARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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