Organization · Type 2 NPI

Boland Prosthetic & Orthotic Center LLC

Prosthetic/Orthotic Supplier · Macon, GA

NPI number 1013440718 Active

Practice location

1673 Wesleyan Dr
Macon, GA 31210-1031

Fax (478) 953-2927

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	300760100 (GA)

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Other prosthetic/orthotic supplier providers in Macon

See all in Macon →

NPI record

NPI: 1013440718
Entity type: Organization (Type 2)
Issued: Apr 10, 2017
Last updated: Nov 11, 2021
Status: Active

Other names

<unavail>
Boland Prosthetic & Orthotic Center LLC · former legal business name
Boland Prosthetic & Orthotic Center LLC · former legal business name

Authorized official

Mr. Paul A Boland, CPO
Owner
(478) 953-2922

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1013440718

Boland Prosthetic & Orthotic Center LLC's National Provider Identifier is 1013440718, issued on Apr 10, 2017. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Macon, GA. The record was last updated on Nov 11, 2021.