Individual provider · Type 1 NPI
Vintonne Hudson
Prosthetic/Orthotic Supplier · Stockbridge, GA
Practice location
6047 N Henry Blvd
Stockbridge, GA 30281-3058
Mailing address
3940 Compton Pointe
Ellenwood, GA 30294-1479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
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.
About NPI 1114875291
Vintonne Hudson's National Provider Identifier is 1114875291, issued on Mar 17, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Stockbridge, GA. The record was last updated on Mar 24, 2026.