Organization · Type 2 NPI
Elite Crowning Glory LLC
Prosthetic/Orthotic Supplier · Jesup, GA
Practice location
413 N 5th St
Jesup, GA 31545-1024
Mailing address
1425 E Oglethorpe Hwy # 1002
Hinesville, GA 31313-1219
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 1669385100
Elite Crowning Glory LLC's National Provider Identifier is 1669385100, issued on Sep 25, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Jesup, GA. The record was last updated on Sep 25, 2026.